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HomeMy WebLinkAbout612 BALSAM LN - PERMITS - 1/21/1980Building Address (pia yL,r &qa'/7? Date of Application 19 Name Mail Address O City Tel. No. o Name U m Address City �. c U City License No. Tel, No.2Z66Z-,ft, Occupancy Group A, B, C, D, E, F, G, H, I, J Division 1, 2, 3, 4 Use Zone —RE, RL, ALM, RM, RH, RP, AMP ML, MM, BP, BL, HB, BG, C, IL, IG Fire Zone 1, 2,3 PUD Signature of owner By ContractorZarfj�r(o� � CITY OF FORT COLLINS APPLICATION FOR BUILDING PERMIT —SHORT FORM 17 K Class of Work Plumbing A- 7 _Roofing/ Heating _Fencing — Electric _Sprink. _ Gas Pipe _Storm W_ Sign _Other _ Permit No. Date issued 2 �'tf 7 " Bldg. fee VALUE VAN 2 1 �a Other Total /,;?. oY� Int. lot Mat. Corner lot Descripfion of Work 07.c X0 /i®-6b01 Rev. C. L Street Approved for Chief B.I. Zoning B.I. aS/