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SOUTH FORT COLLINS
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
HAS APPLIED FOR A WATER AND/OR SEWER TAP FOR �" `A U
(SU6DIVISION NAME)
(BUILDING ADDRESS) (LOT NUMBER)
THE FOLLOWING TAPS PERTAIN TO THE ABOVE MENTIONED ADDRESS:
WATER SEWER
(MARK APPROPRIATE BOX)
V"WATER TAP FEE HAS BEEN PAID; BUILDING PERMIT MAY BE ISSUED:
Pr -'SEWER TAP FEE HAS BEEN PAID; BUILDING PERMIT MAY BE ISSUED:
Q WATER TAP FEE HAS NOT BEEN PAID; F & F PERMIT ONLY:
❑ 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/DISTRICTS: FCLWD/SFCSO
PLEASE RETURN TO FORT COLLINS BUILDING INSPECTIONS DEPARTMENT FOR BUILDING
PERMIT.
F&F
STRUCTURE [ hq
mm
4700 South College AvenueFort Collins, Colorado 80525
1
Telephone 226.3104 - 669-4321
FAX (303) 226.0186