HomeMy WebLinkAbout2420 E Prospect Rd - Miscellaneous/Owner Authorization - 01/24/2008Community Planning and Environmental Services
Building and Zoning Department 4 -15 v
13
City of Fort Collins
OWNER AUTHORIZATION TO OBTAIN A COMMERCIAL
BUILDING PERMIT
I, (Print) y vI�U�Aei' I3Q,Jqe-fSQ�&. as owner of record (property
Address) a�fao ��f(�ecy FOa� known as (name of
business) �LlG o(IZIA �%i�llf4Mr4r 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
I am giving permission fr interior and exterior work. The scope of the work shall be
limited to rf.Vvwva 0? 4XV" V►til2i uAd ilne.G d'Q vy-wtoua.P
d
(Prop owner signature)
The foregoing affidavit was acknowledged before me on the day of
(month,year) by���—B.L�
for purpose t erin set forth.
Witness my hand and official seal. JANIE M. MAUST
NOTARY PUBLIC
STATE OF COLORADO
My commission expires: ICY C(kdM& ON EXPIRES 119i2011
N Public
Permit #
(office use only)
281 North College Avenue • P.O. Box 580 ^ Fort Collins, CO 80522-0580 . (970) 221-6760 ^ FAX(970) 224-6134