HomeMy WebLinkAbout3665 John F Kennedy Pkwy - Miscellaneous/Owner Authorization - 03/19/2008Mar 18 08 02:38p Brown Builders
970-686-7939 p.1
Communitv Planning and Environmental Services
Building and Zoning Department
City of Fort Collins
OWNER AUTHORIZATION TO OBTAIN A COMMERCIAL
BUILDING PERMIT
I, (Print) .1��," as owner of record (property
\0
Address) yi 106' known as (name of
business) 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.
f lam giving permission for i terior work onl The sc pe , the wor Sh II be limited
to i /!t v h /�_
G-/D 0,blo V Zoet J
o I am giving permission for exterior work only. The scope of the work shall be limited
to
❑ I am giving permission for interior and exterior work. The scope of the work shalt be
limited to
owner
The foregoing affidavit was acknowledged
'"N�0.rC11 BOO B (month,y
for the purpose therin set forth.
Witness my hand and official seal.
My COmmission expires;
j"A0?0�-aaos
Permit #
M. Cy
M
�fd9itl�E day of
� ZS eye
IF co
/1111110
9��Notary Public
(office use only)
'81 \r.rth Ccliece Avenue - ?O. Box 580 • Fort. Collins, CO80522-0580 • (970) Z21-676C • FAX (97p) w?4-6134