HomeMy WebLinkAbout3702 Automation Way - Affidavits/Owner Authorization - 05/19/200905/19/2009 TUE 14:01 FAX 10002/002
Maa 19 2009 1:35PM W REYNOLDS CON 9702215009 p.2
Colnmurtity Plazi.ning and Environni.ental Services
Building and zoning Depaltnent
City of Fort Collins
OWNER AUTHORIZATION TO OBTAIN A COMMERCIAL
BUILDING PERMIT
I, (Print) 0TD as owner of record (property
Address) known as (name. of
business) ill �� r" 'Q.'"`�� 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
1,U
o I am giving permission for exterior work only-Thee-S 6pe of the work shallbe limited
to
o I am giving permission for interior and exterior work. The scope of the work shall be
limited to
��Nrirrrh
G (Prop rty owner signature)
%pUg�� 'Q D
regAing', t was acknowledged before me on the 9�h day of
'�i OfYic ` �o g ,1.-a
(month,year) by � , rr F? -kn-o d
for the NrV6 herin set forth,
Witness my hand and official seal.
my commission expires;
v Notary Public
Permit ,#
'0902832
(office use only)
281 1\3orth College Avenue 4 PO. Box 580 •Fort Collins, Co 80522-0580 • (970) 221-6760 • FkX (970) 22�-5134