HomeMy WebLinkAboutADDRESS 165 E Elkhorn Ave, Units A&B 2022-06-21
17032033
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
TISFTUIB!IFN!LVNBS0EVSHB!EFWJ
4636228113
Owner Name: Parcel Number:
Address:
276!F!FMLIPSO!BWF
T!9:!GU!PG!MPU!3-!CML!3-!FTUFT!QL
Legal Description:
(Lot) (Block) (Tract) (Subdivision)
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Phone #:)831*!452.7297 Email:
Fax #: Preferred Contact: Phone Fax Email
Mailing Address:
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City: State: DP Zip Code:91614
Mpohnpou
OWNER’S SECTION:
276!F!Fmlipso!Bwf
I am officially requesting my current address,,
276!F!Fmlipso!Bwf-!Vojut!B!'!C
be changed to .
I certify that I am the legal owner of said property.
Print Name
Signature Date
Owner responsibilities are on the back side of this sheet.
*** Office Use Only ***
Effective Immediately the current address, 276!F!Fmlipso!Bwf ,
276!F!Fmlipso!Bwf-!Vojut!B!'!C
has been officially changed to .
Reason for change:
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!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!Vqqfs!mfwfm!>!sfoubm!voju-!mjdfotf!jttvfe!1803303133/
Hspvoe!mfwfm!jt!Voju!B<!Vqqfs!mfwfm!jt!Voju!C/!!)Voju!C!jt!bddfttfe!uispvhi!uif!cbdl!tjef!pg!uif!cvjmejoh*
Fee $100.00/hour (one hour minimum)
Building Official Date
%!211/11
Total
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Path: Page 1 of 2Revised 7/18/2019
L:\\Comm Dev\\AddressFiles\\1.AddressChanges\\Address Change Application.doc