HomeMy WebLinkAbout4733 S Timberline Rd - Miscellaneous/Owner Authorization - 03/09/2007Community Planning and Environmental Services
�Fort Collins Neighborhood & Building Services
C'trvsxfFtiitCut3ics 281 N. College Ave., P.O. Box 580; Fort Collins, CO 80522-0580; Voice: 970 2216760 FAX: 970 224 6134
B0701473
OWNER AUTHORIZATION TO OBTAIN A COMMERCIAL
BUILDING PERMIT
I, (Print) I�,c.� — �ozk (m6(iks /(, I.L( as owner of record (property
Address) �� ,� �. '1446 A-c—known as (name of
business) 4t4m 0 4 ViYw,'t 6�.)\ 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 guying permis orEfor interior work only. The scope of the work shall be limited
❑ 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)
The foregoi affi avit was acknowledged before me on the _day of
64A0 (month,year) by� „new CJ&&I rn
for the purpose the in set forth.
Witness my hand and official seal.
My commission expires:
��- a of Nebraska
CNANDRA N. McCpRMICK
MY Comm. Fxp. Noe 24, 2009
Permit #
(office use only)
Notary Public