HomeMy WebLinkAbout437 DERRY DR - DISCLOSURES - 9/14/1995SOUTH FORT COLLINS
Sanitation District
DATE: '7 -'/7 - �
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
1 (APPLICANT'S NAME)
HAS APPLIED FOR A WATER AND/OR SEWER TAP FOR ci
(SUBRMSION NAME)
0\6
(BUILDWADDRESS) (LOT NUMBER)
THE FOLLOWING TAPS PERTAIN TO THE ABOVE MENTIONED ADDRESS:
WATER
(MARK APPROPRIATE BOX)
SEWER
,WATER TAP FEE HAS BEEN PAID; BUILDING PERMIT MAY BE ISSUED:
2 SEWER TAP FEE HAS BEEN PAID; BUILDING PERMIT MAY BE ISSUED:
/4 WATER TAP FEE HAS NOT BEEN PAID; F & F PERMIT ONLY:
PLj f, SEWER TAP FEE HAS NOT BEEN PAID; F & F PERMIT ONLY:
ALL TAP FEES MUST BE PAID PRIOR TO ISSUING A STRUCTURE BUILDING PERMIT.
N -c _ . FCLWDJSFCSO
SIGNED: Z
PLEASE RETURN TO ORT COLLINS BUILDING INSPECTIONS DEPARTMENT FOR BUMDING
PERMIT.
STRUCTURE `� (�� /� �`� -7' 9-S
4700 South College Avenue L �O Fort Collins, Colorado 80525
Telephone 226.1104-869-469-4321
FAX (303) 226.0186