HomeMy WebLinkAbout2540 E Drake Rd - Miscellaneous/Owner Authorization - 05/14/2007Conununity Planning and Environmental Services
Building and Zordng Department
City of Port Collins 00702982
OWNER AUTHORIZATION TO OBTAIN A COMMERCIAL
�11 BUILDING PERMIT
I, (Print) vy f, U-e- �d e,) m--1,er as owner of record (property
Address) a54'v if , �rv.ke kCA . known as (name of
business) .Tn, cc- 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
o I am giving permission for exterior work only. The scope of the work shall be limited
to
xI am giving permission for Interior and exterl r work. The scope of the work shall be
limited to l ,
414 S%iy'o7
(Property owner signature)
i
Th foregoing affidavit was acknowledged before me on the `
a, day. of .
for (month,year) by ,l�gt�v�
erin set forth.
�ja ,� cial seal.
commission expil, 3�z�CoS
%G
Notary Public
a
281 North College Avenue • P.O. Box 580 • Fort Collins, CO 80522-0580 • (970) 221-6760 • FAX (970) 2 A-6134