HomeMy WebLinkAbout140 N College Ave - Affidavits/Owner Authorization - 04/11/2007AP? -;,;- "E : ' - -
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Community riamiingarLd. Em-,romm.utal Sex -vices
Daildim, and Zardig Depadment
6aZoalgi
Aht 17 2007
OWNER AUTHORIZATION TO OBTAIN A COMM EPCIA-L
BUILDING PER141T
1, (Print] ^wnel- of -a-rord "Property
gown as`n2rne of
ousiness) hereby aut: i
listed below to L�e done on said pmperr,,i. I u,-,deistan&'-fial.5uch. + .,D!-k 'VVj;! be
performed only by contractors licensed by the City of Fort roffi.Ps.
I 2,1m giving permission for interior, work aniv, 7riescxpp of thevvcl* shEfll be limited
2 r)
Z' 1arr The Scope offt,'e wcwk shah limited
o I Ei-rl _Ivinq Permssion for)nvedor and Ext-rid- work, T-,e scC�pe C'f the t'vork Sf tall be
d to
001��
(Pr opqmy er si Pw-1 grazure)
The T� egPmg affld 1rvas acknowledged bzfore me or the ray of
mo.-Ith,yLar) by
for trip purpnqe thedn set forth.
'Utrim my hand P-nd oftfal seal,
03
,fj'l North CLlite -'Axien6!u'PC)- 5ox 580 % Fort Collins, CC
I Carroll County
My Commission Expires
80 - (970) 121-6762 - tA-'/ (9701'�. 2Z�- Gim