HomeMy WebLinkAboutTOEP 375 Community Drive, Water Dispenser
Received Date Town of Estes Park
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Received By ASSIGNMENT OF ADDRESS
Community Development 170 MacGregor Avenue P.O. Box 1200 Estes Park, CO 80517
planning@estes.orgwww.estes.org
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3641217:12
Owner Name: Parcel Number:
Address:
!!Qbsu!pg!331!5ui!Tusffu!qbsdfm
MPU!2-!MJUUMF!QSPTQFDU!BEEJUJPO
Legal Description:
(Lot) (Block) (Tract) (Subdivision)
!!mcbvsAftuft/psh
Phone #:Email:
o
Fax #: Preferred Contact: Phone Fax Email
Mailing Address:
City: State: Zip Code:
OWNER’S SECTION:
O0B
I am officially requesting my current address,,
O0B
be changed to .
I certify that I am the legal owner of said property.
O0B
Print Name
Signature Date
Owner responsibilities are on the back side of this sheet.
*** Office Use Only ***
Effective Immediately the current address, !!O0B ,
!!486!Dpnnvojuz!Esjwf
has been officially changed to .
Reason for change:
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!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!bddftt!pgg!pg!Dpnnvojuz!Esjwf-!tjnjmbs!up!uif!cbmm!gjfmet!boe!dpnnvojuz!hbsefo/
Fee $100.00/hour (one hour minimum)
Building Official Date
18017031
%!1/11
Total
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Path: Page 1 of 2Revised 7/18/2019
L:\\Comm Dev\\AddressFiles\\1.AddressChanges\\Address Change Application.doc