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LARIMER COUNTY | ENGINEERING DEPARTMENT APPLICATION FOR LOCAL (Larimer County)

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LARIMER COUNTY | ENGINEERING DEPARTMENT
P.O. Box 1190, Fort Collins, Colorado 80522-1190, 970.498.5700, Larimer.org
APPLICATION FOR LOCAL IMPROVEMENT DISTRICT
NAME OF SUBDIVISION:
LOCATION:
PETITIONER NAME:
ADDRESS:
PHONE:
(W)
(H)
1.
Nature
of
improvement(s)
being
requested:
Street
Improvements
Public
Sanitary
Sewer
Improvements
Public
Water
Improvements
Storm
Drainage
Other
Other
2.
What
are
the
names
of
the
utility
companies
serving
your
area?
3.
Existing
Road
Surface:
Paved
Gravel
Application for LID
Page 2
4.
Please
list
each
street
to
be
improved:
Street
Name Street
Width
Street
Length
5.
Are
there
any
drainage
problems
to
be
considered?
Please
explain
with location
and
description:
6.
Please
list
any
unique
conditions
which
apply
to
your
request:
Application for LID
Page 3
7.
Provide
names,
addresses,
phone
numbers
and
e-mail
addresses
of
three qualified
electors
who
shall
represent
the
district.
Name
Address
Phone
Number
E-mail
Address
8.
Provide
a
brief
description
of
the
proposed
improvements:
9.
A
base
map
can
be
provided
by
the
engineering
department
–
please
provide
a proposed
district
boundary
map.
A.
Outline
all
parcels
to
be
included
in
district
B.
Highlight
streets
or
facilities
to
be
improved
C.
Include
all
parcels
that
benefit
from
improvements
Applicant
Signature Date
This application can be submitted by:
Mail: Fax: Email:
Larimer County Engineering (970) 498-7986 Eng-Impdist@larimer.org
Improvement Districts
PO Box 1190
Fort Collins CO 80522
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LARIMER COUNTY ENGINEERING DEPARTMENT APPLICATION FOR LOCAL (Larimer County)

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Completed 31 January 2021

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