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Building Permit <br /> Cheyenne County Colorado <br /> BP-2020 Date of application L1 ©a Permit fee: $5.00 <br /> Owner ceMr f'A- %vim A1 X Phone# 71'1' �75 - <br /> Mailing Address:_ U N M cVnZ i e Ave . (ay-ot\ C6 . C� <br /> Sec Township A i Range �l 1/4 Currently Zoned <br /> Intended use of new construction: V2 aY\C� COnS��V C�16 <br /> Size of Building Approximate Value of Work <br /> Required Setbacks: Front__ Side <br /> Rear Side <br /> Special conditions by staff <br /> Permit to Install,Alter or Repair an Individual Sewage Disposal System attached <br /> Yes Not required Use existing system <br /> Applicant Date f off_ <br /> 7r�Gtbrr eh''ij- OAF- <br /> Approved by: Date <br /> Land Use Administrator <br />