HomeMy WebLinkAbout215 E Foothills Pkwy - Miscellaneous/Owner Authorization - 10/24/2005Community Planning and Environmental Services
Building and Zoning Department
City of Fort Collins
OWNER AUTHORIZATION TO OBTAIN A COMMERCIAL
BUILDING PERMIT
I, (Print) G6 � 1Gp7hFtaS Z-Z-G. as owner of record (property
Address) _c,215 .G: A"�; ,�ict ek-kiv known as (name of
business) _Ei2r)'q ✓1%t-L_ 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 stall be limited
t0_c
❑ 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 me on the a y 411 day of
Qrfo her. Zoo S (month,year) by C y ^+k ;Q To E . � I e/
for the purpose therin set forth.
Witness my hand and official seal.
My commission expires: 0313010t.
B05062.88
(office use only)
281 North College Avenue • P.O. Box 580 • Fort Collins, CO 80522-0580 • (970) 221-6760 • FAX (970) 224-6134