HomeMy WebLinkAbout202 W Laurel St - Miscellaneous/Owner Authorization - 11/29/2005Lee's Cyclery
970-482-3418
to . 2
Nov 29 05 02:44p
NON-29-05 08:Z3
FROW!- T-647 ?.002/OOZ F-784
Cmmunify PYanWng and Environ=nW Services
Sudldins aad Zoning, DC.P&1=ent
C!WNER AUTHORIZATION TO 013TAIN A COMMERCIAL
BUrLOING PERMIT
I, (Print) as owner of record (property
Address) 2Z9 known as (name of
business) L► g&'S Carr an v _ __ hereby authorize the work
listed below to be Clone on said property, I understand that such work will be
performed only by contractors licensed by the City of Fort Collins.
u I am giving permission for interior work only. The scope of thei work shall be limited
to
ra I am giving permission for eterlor,worlc only. The scope of the work shall be limited
to
I am giving rrnission fdr interior
limited to _ a_ ✓iAe:�, LA
(Property owner slgnatun
The foregoing affidavit was acknowledged before
for the purpose therm set f'orth.y(manth,year) by
Witness my hand and official seal.
My commission eupires:-
The scope of ffie
U day of
Notary Public -
Permit P
(Offiae a= only)
281 iVorxkt College Avenue • PO. Bax580 , i nrt Collins, CO 80522-0580 = (970) 22I-6760 • PAX (970) 2m-61M