HomeMy WebLinkAbout924 DEERHURST CIR - DISCLOSURES - 12/11/1995Goyyixs-Loy
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ti Sanitation District
IG�rER DIS'S4,�G
DATE:
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
(APPLICANT'S NAME) -
HAS APPLIED FOR A WATER AND/OR SEWER TAP FOR/ ? e-i-tic _k7 e __�
�7 (SUBDIVISION NAME)
(BUILDING ADDRESS) (LOT NUMBER)
THE FOLLOWING TAPS PERTAIN TO THE ABOVE MENTIONED ADDRESS:
WATER -// SEWER
(MARK APPROPRIATE BOX)
[WATER TAP FEE HAS BEEN PAID; BUILDING PERMIT MAY BE ISSUED:
B-'SEWER TAP FEE HAS BEEN PAID; BUILDING PERMIT MAY BE ISSUED:
❑ 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 DISTWT/DISTRICTS: FCLWD/SFCSD
PLEASE RET
PERMIT.
F&F
STRUCTURE
TO FORT COLLINS BUILDING INSPECTIONS DEPARTMENT FOR BUILDING
- /�2 -//'
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9�
4700 South College Avenue
Fort Collins, Colorado 80628
Telephone 228-3104 - 669-4321 iitou�
FAX (303) 226-0186