HomeMy WebLinkAbout1600 Specht Point Rd - Affidavits/Owner Authorization - 02/10/2009Community Planning and ]Environmental Services
Building and Zoning Department
City of Fort Collins
OWNER AUTHORIZATION TO OBTAIN A COMMERCIAL
BUILDING PERMIT
I, (Print) _ -� C ,�) as owner of record (property
Address) Pl VL12�_s known as (name of
business) /rp6D1-565g�ff7" kq CN-42.— hereby authorize the work
listed below to be done on said property. I understand that such work will be
performed only by contractors licensed by the City of Fort Collins.
I am giving permission for interior work only. The scope of the work shall be limited
to e1itoo e e-, 4".r
Swj,r. lob
o I am giving permission for exterior work. only. The scope of the work shall be limited
to
❑ I am giving permission for interior and exterior work. The scope of the work shall be
limited to
(Property owner signature)
The fo egoing affidavit was nowledged before me on the i v —day of
Ir (month,year) by D7tDWIA . S
for the purpose eerlin set forth.
°C
Witness my hand and official seal. �P�HY W/iVT
My commission expires;
^ 9 ®® 7
d N tary Public �F%•.C/BL\G;�'PO
Permit # d � �� -• ������
(office use only)
281 North College Avenue • P.O. Box 580 ° Fort Collins, CO 80522-0580 0 (970) 221-6760 ^ FAX (970) 224-M4