City of Colo, Iowa-- Building Permit
Owner's Statement and Plot Plan
The undersigned owner of property herein described hereby submits this verified statement and
plot plan for proposed erection, reconstruction or alteration of a building or other structure,
situated within the boundaries of the City of Colo, Iowa, and hereby agrees to comply with all
ordinances and regulations of said city in the improvement and use of said property.
No. OF STORIES
No. OF FAMILIES
WILL IMPROVEMENT HAVE SEWER AND WATER CONNECTIONS?
WORK TO BE DONE BY?
, and all information given
herein is true, as I verily believe.
Subscribed and sworn to by
Before me this
City Clerk, Colo, Iowa
(Filing fee $ 10.00)
(Show dimensions of lot and location and dimensions of existing buildings in relation to
lot line, and location and dimensions of proposed improvement; show any abutting streets
and alleys; show all distances from lot lines.)
(Make a drawing on back or on attached sheet.)