HomeMy WebLinkAbout838 W Drake Rd - Miscellaneous/Owner Authorization - 10/26/2006Community Planning and Environmental Services
Building and Zoning Department
City of Fort Collins p
ig
OWNER AUTHORIZATION TO OBTAIN A COMA
II BUILDING
�)PERMIT
I, (Print) J�� G rv� I ` as owner of record (property
Address) I A:�4✓ ( .4!? t- 4c^---. known as (name of
business) lU p ke--Lt LL C` 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.
PIXI am giving permission for interior rk orgy. Tre scope of the work shall be limited
to fit? r �f✓1
❑ 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)
,thThe foregoing affidavit was acknowledged before e o� day of
C{aliyear) byoi"ESnu�
for the purpose therin set forth.
Witness my hand and,ofidalt6ql.
BEEN
My commission �;cpP
yT`,• pUBLIG :�0
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Permit # Q '%,.0P n n\
(office
Notary Public
281 North College Avenue • Pb.13ox 580 • Fort Collins, CO 80522-0580 • (970) 22f°--6760 • FAX (970) 224-6134