HomeMy WebLinkAbout1725 E Prospect Rd - Miscellaneous/Owner Authorization - 12/20/2007community Planning and Environmental Services
Fort Collins Neighborhood & Building Services
Citvot:FortCouins 281 N. College Ave., P.O. Box 580; Fort Collins, CO 80522-0580; Voice: 970 2216760 FAX: 970 224 6134
80708437
OWNER AUTHORIZATION TO OBTAIN A COMMERCIAL
BUILDING PERMIT
I, (Print) MM I i a ff, nl a n , Mb as owner of record (property
Address) 1725 E Prnsnor-i- Fo inujp �L known as (name of
business) FTp &n:6r 4 NCI l6n e_d rir p 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 Cityof 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 peqrqssion for interior and exterior work. The scope of the work shall be
limited to t,*AW � rAd APMOOa�41, "Afm.9 69- 6-4i& "
(Property owner signature)
The foregoing affidavit was acknowledged before me on the day of
yA 7 D b'1 (month,year) by LA
for the purpose therin set forth.
Witness my hand and official seal. OabbO�
My commission expires: S -2-bY
Permit #
(office use only)
blic
ON
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