HomeMy WebLinkAbout415 E Monroe Dr - Miscellaneous/Owner Authorization - 07/31/2007Community Planning and Environmental Services
Fort Collins Neighborhood & Building Services
Cih otFoRCoU3ns 281 N. College Ave., P.O. Box 580; Fort Collins, CO 80522-0580; Voice: 970 2216760 FAX: 970 224 6134
OWNER AUTHORIZATION TO OBTAIN A COMMERCIAL
BUILDING PERMIT
I, (Print) � n-f-hl d' 61 c hI er as owner of record (property
Address) 7L�� �a s T i%7o.L2or Di-t ,-e known as (name of
business) _`1 o�t'1% Ar—tt ui t4 Ce&.fYR 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
❑ 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
( roperty owner signature)
The,foregoing affidavit was acknowledged before me on theday of
�La (month,year) by
for the rD-osaSbl'rin set forth.
seal,
228
Notary Public