HomeMy WebLinkAbout1133 BENT TREE CT - PERMITS - 7/13/1983City
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Of Fort Coll1nS euILDINc INSPECTION DIVISION
APPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANCY
Applicant complete this part of form only.
Press firmly using ball point pen.
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Job Address -s -Z A. ,_ ?�l v �e l �. 7—
Name pp
Mail Address %f ? /r �� e _ �*•- .�. rs. f't' /!
Phone ;; .� _ r I �, }
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Address s -? - f I�
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License No.lq rj
Phone r' v 'j— 2,r1 s
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�° Lot J
Block
Filing Number
Subdivision :j
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DESCRIPTION OF WORK
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StoCk Options
PlarI No. Codes
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Est. at Cost
(inc(uding labor, material, profit)
II hereby acknowledge that 1 have read this application and
state that the above is correct and agree to comply with all city
ordipances and state taws regulating building construction.
signed dates,
Total F
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Street Parking
ro'l�:.:ior
(No. Cars)
Lot
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Corner Lot
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Reversed Corner Lot
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Street l"41.,1
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ZBA Case #
Date
SBA Case tf
Date
Building Insp. Approval 1f
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by date
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Permit No.
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