HomeMy WebLinkAbout1415 S Shields St - Correspondence/Rental Housing - 01/24/2017City Of BuRding Services Department
Fort Collins 281 North CallAvenue
P.O..O. BoxBo: 580
Fort Collins, CO 2
(970) 221-6760 FAX (970) 0) 22"4-6134134
Rental Housing
Investigation/Inspection Request Form
To be filled out by renter of record.
Date Requested: 12
Rental Address: i 15 ��_ ` 2 c-y Owner's Name: DMA
C� �J J Phone #:
Re uestor's Name: JD , Managing Company Nam
e: - '
Phone # q30 `1I�T 7 Phone #: ID �b , V �
Reason for Requesting Inspectin:
0b5` e, cnh
l
Has the owner or manager been notified of these Issues? $
Requester's signature:
For Office Use Only
Date
This form is considered an Open Public Record