HomeMy WebLinkAbout411 S BRYAN AVE - APPLICATIONS - 9/4/1987CITY OF FORT COLLINS
27 ta4C.'
P.O. Box 580
Fort Collins. CO 80522
NOTICE OF BUILDING PERMIT APPLICATION
Building Address
�r;,r V','; '
PROPERTY
Subdivision or P.U.D. Filing No.
Lot No. Block No.
LEGAL
DESCRIPTION
Lot Area
Corner Lot:
Total Street Frontage (lineal feet)
Yes No
Name
Phone
CONTRACTOR
Address City State Zip Code
Name
Phone
((
tt
OWNER
AddressCity State Zip Code
rlr.^� rxq"u:' :r•�(tr" 1 !%51s�
Single Family ❑ Commercial Number of Units:
USE OF
BUILDING
Multi -Family ❑ Other: E%it_i '!;'ifii) `-}-. � t', t+L:� ,l-",✓• 9:>•J;t1'.. •• V
r
TYPE OF
�
Gas Electric ❑ Heat Pump ❑ Baseboard ❑ Radiant ❑ Other:
HEAT
WATER AND
�` t
4{1:^,
❑
SEWER
Water Tap Size:
Sewer Tap Size:
Metered Flat Rate
Drainage Basin
Gross Area
ELEC
R!C SFr1VoC_
STORMWATER
Base Rate
Runoff Coefficient
Detention RecluctiopfiRIVI I I
Floodplain
UTILITY
I
_y,Y AMPS FAU
T CLVV&A �O
(To be
Utility Fund Number
Storm D i ge B F e�_ �� ; 1
11II
completed
by others)
'
tV LIGHT, 4WER DEPT. nDATE
Stormwater Utility Signature
�tECtMIDARYDWONATiON
NOTE:
I understand that th
Storm Drainage Basin Fee must be paid prior to the issuance of a Cer-
tificate of Occupan
y. I further understand that if drainage improvements are required for
this site, two (2) copies
of a drainage report and a drainage plan, signed and stamped by a
APPLICANT
Colorado -registered
Professional Engineer, must be submitted to the Stormwater Utility for
approval before a C
rtificate of Occupancy will be issued.
Signature of Applic
nt: 't R °'4
' J.� %
Date: r .
DISTRIBUTION
t. Original: Applicant — 2. White:
uilding Inspection — 3. Gold: Stormwater Utility — 4. Blue: Transportation Utility
— 5. Pink: Light & Power — 6. Yell
i w: Water & Sewer .I.