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HomeMy WebLinkAbout1648 Larch St - Correspondence/Rental Housing - 04/29/2019�Cit of 281 North Building Services Department YCollege Avenue ®rt CollinsP.O.580 Port Collins, CO 80522-22-0580 (970) 221-6760 FAX (970) 221-6134 Rental Housing„ y Investigation/Inspection Request Form To be filled out by renter of record. Date Requested: q _ Z 6 - 1 of Rental Addresser �,_L�cc�, �5� • # wners Name: �q�LS{` [ or\$ b� A 1�S C j e J E o rc ForF GD\1l1A1;1 CO �2(� Phone#: q-l0 � Z25-ql:.(--5L J Requestor's Name: ' oSOn S\, ,Le Managing Company Name: S�el1a� -, al-10-S5�-�So� Phone #: T oS© vl - 7 0').--j -7 Cj - `7 b Phone #: Reason for Requesting Inspection: DlJ arc_ G � S e, i hSc, WS Has the owner or manager been notified of these issues? This form is considered an Open Public Record 0