HomeMy WebLinkAbout604 MONTE VISTA AVE - MISCELLANEOUS - 7/14/1994I:
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Community Planning and Environmental Services
Building Permits and Inspection Division
CITY OF FORT COLLINjj
BUILDING INSPECTION DIVISION
REFUND REQUEST
I hereby authorize cancellation of said permit and/o(ed.
an review fee.
I further state that no work authorized by the aboveit has been
done. I am requesting that applicable fees be refu
Signature of Applicant
Permit Number
To Revenue Officer: You may author
Tyne of refund
y- M
*At ltac /hlc/ opy'-o'tr application or permit
Date
Appli64tion
Paymen in the amount oft
lan view Fee 101-.341113
't Fee 101-322101
Sale Tax 90000
scellaneous
MEN
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AUTHORIZED
261 North College Avenue • P.O. Box 580 • Fort Collins, CO 80522-0580 • (303) 221-6760
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