HomeMy WebLinkAbout4862 Innovation Dr - Miscellaneous/Owner Authorization - 01/16/2008Community Planning and Environmental Services 8080038?
Building and Zoning Department
OWNER AUTHORIZATION TO OBTAIN A COMMERCIAL
BUILDING PERMIT
I, (Print) _1 as owner of record (property
Address) �BGL / , A ,A known as (name of
business) _ �iern.�.,�. ��(,(1 fl 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
4..
❑ I am giving permission for exterior work only. The scope of the work shall be limited
to
\ I am Living permission for interior and exterior viork. The scope of the work shall be
limited to
] met 4ev" 77
(Pro rty mvner signature)
T e foregoing afTid vi ;, as acknowledged before m on the 4 day of
(month,year) by -��i(noli Z✓ L
f • the pure s therin set forth,
ya CHRISTIN i.. PJ10RAN
Witness my hand and official seal. ` N041' Y l"UHIC
STAII 70LORADO
hly commission expires: a' 1 I IU !dv COMMISSH:11 L.pires�=�'t
d `I /1
Notary Public
Permit
(ofiic: use only)
'_2i :�.•'•'Ih Ctidle' a Avenue ' P.O. Bi.), liis, L
5M ' For; Col (_f1 �7 ' � ��
ul.'7.._-v?i.l} i/'n i71-Lf(:•t} • _•i i-}.