HomeMy WebLinkAbout900 BRAMBLEBUSH ST - PERMITS - 4/11/1991DEVELOPMENT SERVICES/BUILDING PERMITS & INSPECTIONS DIVISION
P.O. BOX 580, FORT COLLINS, CO 80522-0580
221-6769
BUILDING PERMIT
JOB SITE ADDRESS Rpalim PPIlqW. :T
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i Proposed Use _ Use Znne Permit level
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As a condAidfI 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.
Signature C n r t % k IDet—%4 .._-0- A r
ACCOUNT
CITY S
STREET
TOTAL FEES
DEPARTMENT
FEE I DATE PAID
SITE SETBACKS
REAR
42
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9 LEFT � � RIGHT
20
FRONT
CALL 221-6769
TO SCHEDULE INSPECTIONS
(See reverse side for
Inspection Description)
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STATUS I DATE
Electrical