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3702 Automation Way - Affidavits/Owner Authorization - 09/22/2009
City of Planning, Development &Transportation. Fort Collins 281 N. College Ave P.O. Box 580 Fort Collins, CO 80524 B©9 0 5 8 7kone 970-416-2740 Fax 224-613 BUILDING OWNER AUTHORIZATION TO OBTAIN A COMMERCIAL BUILDING PERMIT I, (Print) L� L �i� z� �yi �fc�2 L C as owner of record (property address) 37� Zn �yt,�l �{-rn �� known as (name of business) LQ1- hereby authorize the work listed below to be done on said property. I understand that such work will only be performed 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:' ❑ I am giving permission for exterior work only. The scope of the work shall be . limited to: D I am giving permission for interior and exterior work. The scope of the work shall _..u1No The foregoing affidavit was acknowledged before me on the a C-J day of 'SeA a O 0cl(month, year) by �Lk.Y r►k JI`mL"-8 for the purpose therein set forth. 'Witness my hand:and official seal. My Commission expires: I - a 4 aO 1 Permit # Offices use only