HomeMy WebLinkAbout4700 INNOVATION DR - CORRESPONDENCE - 8/11/1995Communitv Planning and Environmental Services
Building Permits and Inspection Divisiio'.�///"
CITY OF FORT COLLINS d4"'449 AlD,
BUILDING INSPECTION DIVISION
City of Fort Collins
I hereby authorize cancellation of said permit and/or plan
I further state that no work authorized by the above permit
done. I am requesting that applicable fees be refunded.
Signature of Applicant
l--�i5i 1p�0
Permit Number
To Revenue Officer:
s
Date
Application Number
review fee.
has been
You may authorize Payment in the amount of:
$ lq9, ZG
Total Amount of Refund
Plan Review Fee
Permit Fee_
Sales Tax
Miscellaneous
AUTHORIZED
101-341113
101-322101
tAttaah copy of ap ication or permit
281 North College Avenue • P.O. Box 580 • Fort Collins, CO 80522-0580 • (303) 221-6760
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