HomeMy WebLinkAbout1415 Blue Spruce Dr - Miscellaneous/Owner Authorization - 10/25/2007City of Fort Collins
Community Planning and Environmental Services
Building and Zoning Department
00707�.'7~176
OWNER AUTHORIZATION TO OBTAIN A COMMERCIAL
BUILDING PERMIT
I, (Print) ion A Peterka as owner of record (property
Address) 1415 Blue spr„re Drive known as (name of
business) rnvex Ltd. (building owner) hereby authorize the work
Cermak, Peterka & Peterson, Inc. (building occupant)
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 aivinci permission for interior work only. The scope of the work shall be limited
t0 Demolition of office area in Unit 2
❑ I am giving permission for exterior work only. The scope of the work shall be limited
to
o I am giving permission for interior and exterior work. The scope of the work shall be
limited to
(Property owner signature)
The foregoing affidavit was acknowledged before meon the o?sday of KATHLEEN L.
dl e�rc,� (month,year) by WV ROTH •''
for the purpose therin set forth. :.
Witness my hand and official seal. �FCQ11.
My commission expires: J V 1 Llo �O
Notary Public
Permit #
(office use only)
281 North College Avenue • PO. Box 580 • Fort Collins, CO 80522-0580 • (970) 221-6760 • FAX (970) 224-6134