HomeMy WebLinkAbout4721 DUSTY SAGE LOOP - CORRESPONDENCE - 1/7/2004 (2)FORT COLLINS•LOVELAND WATER DISTRICT
DATE: 1 l 1c) LA
SOUTH FORT COLLINS SANITATION DISTRICT
TO: CITY OF FORT COLLINS BUILDING INISPECTIONS DEPARTMENT
FROM: FORT COLLINS - LOVELAND WATER DISTRICT
RE: WATER AND SEWER APPROVAL
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t` THIS IS TO VERIFY THAT
� I (APPLICANT'S NAME)
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$$ HAS APPLIED FOR A WATER AND SEWER TAP FOR I-k K
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(SUBDIVISION E)
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(BUILDING ADDRESS, (LOT NUMBER)
THE FOLLOWING TAPS PERTAIN TO THE ABOVE MENTIONED ADDRESS:
„z ! -WATER EWER
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(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.
'f5;T WATER TAP FEE HAS NOT BEEN PAID, F & F PERMIT ONLY.
IN- 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 / DISTRt CTS: FCLWD / SFCSD
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