HomeMy WebLinkAbout606 LOCUST GROVE DR - APPLICATIONS - 10/20/2016Planning,Drvelopment `?- transport: t`iOr
?_.8:1. N. College Ave P.O. So., 580
'.:r ' 1 .1. Fort Collins, CO 80524
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piii anion is o v� risacl io apply :orthe fo.11ovliing permits only (check all that apply). ;-'I Air Co,'Idii:icninc;
! iJc?I'1plitiCln (ir: ,'I"ieil" r C,n-StrUCtl.lr2!) Cl Electrical Alteration (not Serdice change' ❑ Gas L.igl�t:1!' !_:1 Gas Log
!;� J11it 0 L.aw;! � Sl:rinlder 0 Mobile Horne replacement ❑ Rooting C7 Sewer Line ❑ Photo vc)it'c;i
i/i I,,; i 1lilC!: u watei ! leater !:! Water Line L.1 Wood/, ellat Sto o (Must be EPA certified, provide make, fr1CCl ! c1i;C;
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O!iip!::t'' ail :.li l)iiCa�Jl? illiCri'T18tiOn U1 the applica:t'Cr'J. Incomplete applications livill
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Cont:rad-or Cii'1 or Ft.:;011iiis Salas tax lr
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! t:!.il:i jl reSiCl"!L;ili 01• coin 111 arcia: protect? rleSlClCrlticli ❑ CUnlrne iClal
il' !' :Sfi!e:l'i icll, is i',:: �ingle c nnily Detached D Condo/townhol'Tle (single Family a1:CilCtleCl� !`i t�..Ij IIc�;S
i� Multifamily (apantment) L. Garage _
:.r cnr„nl rcia!, is it: C.i i3anl; El Gar Cl Church ❑ Hctel/Motel 0 Medical office Office i�'i R.eta!i
L-I R.est"('urant: ❑ Other (explain)
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`pill:; bUildi!"19 SO yc:a: or og a cr• more:? 171 Yes U N0 If yes, Y011 may,%eNd to contact Historic: f'r::s�vv-ltivn
year was the building constructed?
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N 11. J, you LJ'!.i i7E'E'!l r i% asL2uslns a.s5�,_sme/%t to submit V/ith t/�i pp/ir_at,'o!J.
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If first-time iVC mr.rst list licensed eiectricia.
�''!:; lawn s;ril;icic:!;'bac:<r,rnv prwc:.nlsr, -must list licensed plurnl:Jer, ,
S:ri�co+r.:rz,ctor::: L,Yq C Conlr��nyna:J:eaJ'ctyoil
FhCn//ins/icr�nse.
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Are you paying taxes Here or by report? El Here
Are you paying with your trust account? "ZYes f::i
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hareb;: acknowledge inat I have read this application and stat tt'at the above infornation is complete and correct. ' a rea
wi!:ii ;i!I !-c'ii!.1 !'�'%l'!11�5 contained herein and city ordinances and state laws regUlating buildin constrl.le.:lIc.;11. IT i(1iiJ41!'t._,,.i: "r.'! j
"_rr iir is riot V71 id in IT,, it 9'ic S iJeeS pail ai1Ci issued.
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