HomeMy WebLinkAbout1327 SAINT CROIX PL - DISCLOSURES - 6/17/2003 (6)u n= F_sicer7=1 J Coce
Iirl ULATION CtS.C.LCSURS POP-M
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Gene.^..! =ntrcior R T CAM( N D A MER T f II nl HOMES
U=L:ticn cantractnr_ R G, _ Tn art 1 a t i on Co.
�e buildirig $ zoning Cep - a-c
Comrnunibf Planning and Envir•onrnegLaU i0r7ic>~
11 N. GoDege Ave, P.O. Box SM. +;rt Cog,, CO ffiZi^
Vow9'i0''—'167M FAX. 9i0=4613a
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T?v: a :�c�ure form is to be --igned by the irmutation conpac5or or repre;enta6ve of the genera! contractor
Pfe=e ape or print, except for the ,igrtahlre- Complete the information in the appropriate spaces provided
it =mpcnents v-.ry, make mLddple entries to de~cibe therm.
One --py of th% form m=t be provided to the Building and Zoning Department prior to the C-O.
One copy of thi form mEzt be made avaitable to the original home buyer_
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= e---cenr-J Erergy C. ccce. mnd tr it w- rn=ded in zc=r&n--- with the %=dz m Gdde>rri,---- ptsb(-hed by t , C:ty of Fort C--&r.
cn.;an CerCrjinq Jab: _ -I rTodd Robertson
'4I VI,..--F-- Date- p I-7-n3