HomeMy WebLinkAbout4501 CLIFFSIDE CT - APPLICATIONS - 3/3/20150 03/03/2015 12:19 PM.
13035000658
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This applleation Is
O Demolition Anted
Beating Unit ❑ 1
'�pp ventilation a WF
manufacturer).
Complete all amAlo
AP01ca ion #
Pkmtkr& DrwelopMent t TranqOrtatlan
281 N. College Ave P.O. Box 580 �d— ` 4f d o
Fort ColOns, CO 80524 , i G�✓1 Phone 970-416.2740 Fax 224-6134
VIER=THE4OUNTER PERMITS ONLY
o be used to apply for the MWmbp pem ft only (check all tint apply) Ir conditioning
non-structurel) o Elul Alteration (not awviw change) ❑ Oda { A Gas Log
wn sprinkler D Mobile Home replacement o Roofing 13 Sewer Una 13 Photo -voltaic
r Heater D Water Line O WoodlPeliet Stove (must be EPA certified, Provide make, model and
Information an the appik edon. InCMDbta applications will not be accepted.
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Is this a residential commercial project? �fReddentlel 13 Commercial
If r�dw". is it: Strtgle• ntly Detaci►ed O Cando/tormhome (single flily atiKhed) 13 Duplex
MWdfm* (ap Rent) 17 Garage
N commercial, Is it sank 17 Bar D Church 13 Hotel/Motel O Madkai aline o Mice O Retail
Restaurant 17 Other (0*11)
Is this buikIlng 50 of age or more? O Yes �1TW ffyw you nwynead to X110& /eft* Plast�rraiibn
V this Is far a psmR, what year was the building constructed?
IfpniorLD1975, yw► Ineadan asbeMw awawaWtosubn*wltlldticeppfk2Lbm
W� NONE
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PkM*w Medeftiol rtoorer Other
I hereby aduiowkdge I hive road Ws appikaticn and state th* the above Worm dm is oomplebe and eonect. I agree to
ao * wl@t d mWire Deft oontahrod herein and dty OnSO oes and state laws regulating bull ft construction. l tarow theta
PIsnotvaRludIftheabownpoldwAlawed.
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