HomeMy WebLinkAbout1298 N College Ave - Miscellaneous/Owner Authorization - 03/14/2007Community Planning and Environmental Services
Building and Zoning Department
00701 Z, 70.
City of Fort Collins
OWNER AUTHORIZATION TO OBTAIN A COMMERCIAL
f q B�U'ILDING PERMIT
I, (Print) (,(/ �T /�J—�i"�¢% S Ai --A as owner of record (property
Address) /��n �^ LUL.G E 17 t60-z;known as (name of
business) W1 :ssitl1L 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
�( I am giving permission for exter'o work only, jhe scope of the work shall be limited
to 94AC, X &A 7 ,ez�/E U0
❑ I am giving permission for interior and exterior work. The scope of the work shall be
limited to
owner
The foregoi Jfl@�R wa
for the pur setherin set forth.
Witness myUX44 iFi44
My commission e CO
My Commission Expires 01/PB/P010
J before me on the day of
year) by 4i&srtyL —
Not ry Public
Permit #
(office use only)
281 North College Avenue • P.O. Box 580 • Fort Collins, CO 80522-0580 • (970) 221-6760 • FAX (970) 224-6134