HomeMy WebLinkAbout4721 DUSTY SAGE LOOP - CORRESPONDENCE - 1/7/2004FORT COLLINS•LOVELAND WATER DISTRICT /V
DATE: 1 I G
SOUTH FORT COLLINS SANITATION DISTRICT
TO: CITY OF FORT COLLINS BUILDING INISPECTIONS DEPARTMENT
FROM: FORT COLLINS — LOVELAND WATER DISTRICT
RE: WATER AND SEWER APPROVAL
THIS IS TO VERIFY THAT
(APPLICANT'S NAME)
HAS APPLIED FOR A WATER AND SEWER TAP FOR V_; a
L�D J st #� (SUBDIVISION E)
� � Vc 0� ��- j��r 111 � 1t�I I13
(BUILDING ADDRE ) (LOT NUMBER)
THE FOLLOWING TAPS PERTAIN TO THE ABOVE MENTIONED ADDRESS:
L WATER EWER
(MARK APPROPRIATE BOX)
❑ WATER TAP FEE HAS BEEN PAID, BUILDING PERMIT MAY BE ISSUED.
❑ SEWER TAP FEE HAS BEEN PAID, BUILDING PERMIT MAY BE ISSUED.
_p:T WATER TAP FEE HAS NOT BEEN PAID, F & F PERMIT ONLY.
SEWER TAP FEE HAS NOT BEEN PAID, F & F PERMIT ONLY.
ALL TAP FEES MUST BE PAID PRIOR TO ISSUING A STRUCTURE BUILDING PERMIT.
NAME OF DISTRICT / DIST& CTS: FCLWD / SFCSD
R
SIGNED:
PLEASE RETURN TO THE CITY OF FORT COLLINS BUILDING INSPECTIONS
DEPARTMENT FOR BUILDING PERMIT.
F & F PERMIT STRUCTURE
❑ PRESSURE REGULATING VALVE REQUIRED
5150 Snead Drive Fort Collins, CO 80525 Phone (970)226.3104 Fax (970)226.0186