HomeMy WebLinkAbout123 N College Ave - Miscellaneous/Owner Authorization - 03/28/2007communhy Planning and fravironmental Services
Fort Collins Neighborhood & Building Services
281 N. College Ave., P.O. B580• Fort Collins, CO 80522-0580• Voice: 970 2216760 FAX: 970 224 6134
L'ih%ol lort CaL'uis g Box � '
OWNER AUTHORIZATION TO OBTAIN A COMMERCIAL
BUIL�DnING PERMIT ES (Z3� L L G
I, (Print) �A h1 �c KISS + r I A f.9 L— as owner of record (property
Address) I2�7 N CC) LL-rr-eEAgE0Z/ 30 known as (name of
business) �� �z "J Z L 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.
u I am giving permission for interior work only. The scope of the work shall be limited
a I am giving permission for exterior work only. The scope of the work shall be limited
to
I am giving per iss n or inte an xterior work. The scop oqf the wo shall be
limited to (.( /� .111u1ij., �fc,,. �G�
0.6 cal °
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a
(Property owner signature �, '••.......•••''�•`�
The foregoing affidavit was acknowledged before me on I I day of
M a r c,h a9Q o f (month,year) by a ^ Eck 5
for the purpose therin set forth.
Witness my hand and official seal.
My commission expires: 3 LLl%j ac 120CE
U Notary Public
PO 7
(office use only)