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RE-INSPECTION NOTICE
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TYPE OF INSPECTION -=;?4<-h~~;-,,a,C"""'c_ _____ _
A $50.00 fee must be paid prior to re-inspection for
the following reasons:
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Date & Time
Community Development & Neighborhood Services
281 N College Ave; P.O. Box 580; Fort Collins, CO 80522-0580
Phone: 970 221 6760 FAX: 970 224 6134
SPECIAL INSPECTION AUTHORIZATION
PERMIT# --------------
ADDRESS _____________ _
A $50.00 fee must be paid per inspection prior to
special inspection(s).
Customer Signature Date
Authorization Date