HomeMy WebLinkAbout4563 Denrose Ct - Miscellaneous/Owner Authorization - 12/14/2007Community Planning and Environmental ServiS O 70 8 4 r t
Fort Collins Neighborhood & Building Services
CoEr-11mamilini
lege Ave., P.O. Box 580; Fort Collins, CO 80522-0580; Voice: 970 2216760 FAX: 970 224 613d
OWNER AUTHORIZATION TO OBTAIN A COMMERCIAL
BUILDING PERMIT
I, (Print)='�/=�G Y ��' L�- as owner of record (property
Address) L{p5
G 3 Qer-,roSc—
known as (name of
business)
1/ G� ��� �+^� /�"��'
cst L� `
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.
o 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
el I am giving permission for interior and exterior work. The scope of the work shall be
limited to 7$WA Orr )�1V)_W AS fta. >
p r i nature)
The foregoing affidavit wgA acknowledged before me on the y day of
D�LFM �iC , o (month,year) by IAAW�il'
for the purpose t erin set forth.
Witness my hand and official seal.
My commission expires:'VW/0
Permit
(office use only)
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