HomeMy WebLinkAbout1415 Blue Spruce Dr - Miscellaneous/Owner Authorization - 06/16/2008APR-28-2005-TFIU 03:31 PM
P. 012/012
Community Planning and Environmental Services
�. Building and Zoning Department
8080380,8
Ci of Port Collins
OWNER AUTHORIZATION TO OBTAIN A.COMMERCIAL
��. BUILDING PERMIT
I, (Print) 11 p00 /i. / le.,4./� as owner of record (properly
�9oS�5t
Address) /-0%S8/Aoe :&Lkwce Of, ��-i,�•fC/�Nrknown as (name of
business) �"nlie�c 47 GGG 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 City of Fort Collins.
I am giving permission for interior work only. The scope of themork shall be limited
to
�'�holiaoa ioiK9g�dfivy �{ .�l�zi•v�siae
❑ 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 shall be
limited to
(Property, owner signature)
The foregoing affidavit was acknowledged before rnif on th day of .
J-UAL �?Wb (month,year) by j!0Lj
for the purpose therin set forth. .
Witness my hand and official seal.
My commission expires: !►
Notary Pu i
Permit #
(office use only)
281 North College Avenue • P.O. Box 580 • Fort Collins, CO 80522-0580 (970) 221-6760 • PAX (970) 224-6134