HomeMy WebLinkAbout1 OLD TOWN SQ - PERMITS - 5/6/2004Community Planning & Environmental ServicesPERMIT FEES
Building & Inspections Division BUILDING PERMIT
P.O. Box 580 281 N. College Ave. Building Valuation
Fort Collins, CO 80522-0580��
City ofFo d� Phone (970) 221-6760 Fax (970) 224-6134 B0402750
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JOB SITE ADDRESS 1 oLD owN PERMIT DATE 05/06/2004 Mild, o >� Pef.It �/ sly 423.5 5J6J04
PERMIT TYPE PERMIT LEVEL 'L CATEGORY TYPE IM sip
Lasting. P�tik�tl lril ^ Type Occupancy Group
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re Footage Stock Plan/Options
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226 0618
Rear Setback 0
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ZBA Case Number Zoning District (See reverse side for Inspection Description)
Filing
Block Lot Area d Parcel No. 9712308013
IMC Contractor License No. 1403 A SIGN INSPECTION IS REOWED
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FORT COLLINS, CO OD526 Pleere adZcn*g, at WRI4i1S—V45. to
Supervisor Cert. No. Sdrotlde an intipeclin woven butddion i=
License No.
License No.
License No.
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As a 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 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 or incomplete infbrmaUwrTPis permit shall became null and void if the work authorized by such permit is not
commenced, suspended, abandoned or inspected within 180 Ks frc3dthe date of suph permit or from the date of the last inspection.
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Print name of owner/agentSignature Date