HomeMy WebLinkAbout1307 E Prospect Rd - Miscellaneous/Owner Authorization - 02/08/2007Community Planning and Environmental Services
Fort Collins Neighborhood & Building Services
CitvotFortCultins 281 N. College Ave., P.O. Box 580; Fort Collins, CO 80522-0580; Voice: 970 2216760 ' FAX: 970 224 6134
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B0700739
OWNER AUTHORIZATION TO OBTAIN A COMMERCIAL
BUILDING PERMIT
I, (Print) '70F4A ff£&vAA1 as owner of record (property
Address) 130? f ?A-iSP[cT- RA known as (name of
business) FocT c644.7�s c-t-ad 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
❑ I am giving permission for exterior work only. The scope of the work shall be limited
to
�A I am giving permission for interior and exterior work. The scope of the work shall be
limited to AemoAec. "Otsc ,awe AA; to-Oio SA
(Property owner signature)
The fore oing affidavit was acknowledg tl'before me on the U -day of
iM c9-0 (month,year) by 7601)
for the purpose the ' set forth.
Witness my hand and official seal:~
My commission expires:
Notary Public
Permit #
(office use only)