HomeMy WebLinkAbout612 BALSAM LN - PERMITS - 9/17/1996SETBACKS
Community Planning & Environmental Services PERMIT
Building Permits & Inspections Division BUILDING
REAR
P.O. Box 580 221-6769
CftyoEFortcollins Fort Collins, CO 80522-0580
EFT RIGHT
JOB SITE ADDRESS 612 BALSAM LN
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(See reverse side for Inspection Description)
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Construction Type Occuponc, Group Fire Sprinkler Ftreplace/Stoves
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Building Squa® Footage
Basament Square Footage
No. of Stories
Building Height
Occuponcy Lood
Occupancy Sepom9on
Are. Seporefion
Fire Contoinment
No. Dwelling Units
No. of Bedrooms
No. o/ Bedrooms
Stock PMnfpptions
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TREROOF
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ZBA Cose
No.
BRB Case No.
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0963358
Penn O'S-EPTEMBER 17, 1996
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:STATUS
DATE a.CONTRACTORS
OTC PERM
T ISS
E19979
Asa condition for the issuance of a permit, I hereby declare that I am an owner or the
owner's agent, authorized to perform the proposed work on the property described herein.
I agree to comply with all the requirements contained herein, and City ordinances, and State
laws associated with such work I understand that such permit may be revoked in the event
that issuance was based on incorrect information. This permit shall become null and void if
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the work authorized by such permit is not commenced, suspended, abandoned, or not
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inspected within 180 days from the date of such permit
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Signature —