HomeMy WebLinkAbout4700 INNOVATION DR - CORRESPONDENCE - 8/11/1995 (2)Communitv Planning and Environmental Services
Building Permits and Inspection Division /�,$5(��j/ n-rD
CITY OF FORT COLLINS 13tV'O'S 2/4 197'1
BUILDING INSPECTION DIVISION
City of Fort Collins
I hereby authorize cancellation of said permit and/or plan review fee.
I further state that no work authorized by the above permit has been
done. I am requesting that applicable fees be refunded.
Signature of Applicant
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Permit Number
To Revenue Officer:
Comments:
g s
Date
Application Number
You may authorize Payment in the amount of:
Plan Review Fee 101-.341113
Permit Fee 101-322101
Sales Tax 90000
Miscellaneous
s�. So
Total Amount of Refund
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AUTHORIZED S NATURE
*Attaeh copy of application or permit
281 North College Avenue • P.O. Box 580 • Fort Collins, CO 80522-0580 • (303) 221-6760
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