HomeMy WebLinkAbout3555 STANFORD RD - PERMITS - 1/13/1999Community Planning & Environmental Services
BUILDING P E RM I T
Building Permits & Inspections Division
Cityof For, Collins
P.O. Box
22 � 6769
Fort Collins,ns CO 80522r0580
JOB SITE ADDRESS
LEFT
Permit 7 Type r..
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Work TYPe .,
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Cat cry TYPE
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Pro osed Use
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Use Zone
Permit Level
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Subdivision
PUD
Filing
PERMIT FEES
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Subdivision/PUD
Building Valuation
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Parcel No.
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Address
City
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State
Zip
Phone No.
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Fire Containment
ACCOUNT FEE DATE PAID
".. !..r - L ^ n' C;lIi i , , Lot Area
i-� AN Glil=pt�;i< I �; ...r,l .t��(r�JJI
BLU(i P' . R I l 1 W 11 h 108.68 990 1 13 Plat File No.
GT t Y SALFS USE - Tit 150.00 9901,K",
Ct?1,tNTY`W1S''-AX `i,/.�iO `l91ii11 Off sr. Parka
/ TOTAL FEES '-
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099�H94 PermaDaAN;iARY t;419
As a condition for the issuance of a permit, I hereby declare that I am an owner or the
owner's agent, authorized to perform the proposed work on the property described herein.
I agree to comply with all the requirements contained herein, and City ordinances, and State
laws associated with such work. I understand that such permit may be revoked in the event
that issuance was based on incorrect information. This permit shall become null and void if
the work authorized by such permit is not commenced, suspended, abandoned, or not
inspected -within 180 days from the date of such permit.
Signature
Date / —If —
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9101221,
SETBACKS
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FRONT
RIGHT
REQUIRED INSPECTIONS
CALL 221-6769
TO SCHEDULE INSPECTIONS
(See reverse side for Inspection Description)
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