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SOUTH
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DATE:
Sanitation District
TO: CITY OF FORT COLLINS BUILDING INSPECTIONS DEPARTMENT
FROM: FORT COLLINS-LOVELAND WATER DISTRICT
SOUTH FORT COLLINS SANITATION DISTRICT
SUBJECT: WATER AND SEWER APPROVAL
THIS IS TO VERIFY THAT
(APPLICANTT'S NAME)
HAS APPLIED FOR A W.^.TER AND.!OR SEWER TAP FOR)
(SU IVISION NAME)
610 -, //OZ,,,i� ,� �, -t7
(BUILDING ADD SS)
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(LOT NUMBER)
THE FOLLOWING TAPS PERTAIN TO THE ABOVE MENTIONED ADDRESS:
f WATER ` SEWER
(MARK APPROPRIATE BOX)
V
ATER TAP FEE HAS BEEN PAID; BUILDING PERMIT MAY BE ISSUED:
WER TAP FEE HAS BEEN PAID; BUILDING PERMIT MAY BE ISSUED:
,11
k�WATER TAP FEE HAS NOT BEEN PAID; F & F PERMIT ONLY:
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SEWER TAP FEE HAS NOT BEEN PAID; F & F PERMIT ONLY:
ALL TAP FEES MUST BE PAID PRIOR TO ISSUING A STRUCTURE BUILDING PERMIT.
NAME OF DISTRICT/DLSTRICTS: FCLWD/SFC"S®
SIGNED:
PLEASE RETURN
PERMIT.
F&F
STRUCTURE
4700 South College Avenue
Fort Collins, Colorado 80525
Telephone 226-3104 - 669.4321
FAX (303) 226-0186
COLLINS BUILDING INSPECTIONS DEPARTMENT FOR BUILDING
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