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HomeMy WebLinkAboutADDRESS 203 Cleave St, Lumpy Ridge Brewery, 2024-01-23 Received Date Town of Estes Park MK!Cbvs Received By ASSIGNMENT OF ADDRESS Community Development 170 MacGregor Avenue P.O. Box 1200 Estes Park, CO 80517 planning@estes.orgwww.estes.org CFF314!MMD 4636335127 Owner Name: Parcel Number: Address: 314!Dmfbwf!Tusffu-!Ftuft!Qbsl!DP!!91628 MPUT!27-!28!'!F!7!GU!5!JODIFT!MPU!29-!CML!9!FTUFT!QL<!FY!O!41!GU Legal Description: (Lot) (Block) (Tract) (Subdivision) Phone #:Email: Fax #: Preferred Contact: Phone Fax Email Mailing Address: 3591!QFSTIJOH!SE!TUF!711 City: State: NP Zip Code:75219 Lbotbt!DJuz 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, 314!Dmfbwf!Tusffu , 314!B!'!C!Dmfbwf!Tusffu-!Ftuft!Qbsl!DP!91628 has been officially changed to . Reason for change: 314!Dmfbwf!Tusffu!ibt!cffo!sfopwbufe!up!ibwf!b!csfxfsz!ubtjoh!sppn!po!uif!mpxfs!mfwfm!boe!b! xpslgpsdf!ipvtjoh!voju!po!uif!vqqfs!mfwfm/!!Uif!mpxfs!mfwfm!xjmm!cf!314!B!Dmfbwf!Tu/!Uif!vqqfs!mfwfm!xjmm!cf!314!C!Dmfbwf!Tu/ Fee $100.00/hour (one hour minimum) Building Official Date 12034035 %!1/11 Total MbvsbKbof!Cbvs-!Qmboojoh!Ufdi Path: Page 1 of 2Revised 7/18/2019 L:\\Comm Dev\\AddressFiles\\1.AddressChanges\\Address Change Application.doc