HomeMy WebLinkAbout351 Linden St - Miscellaneous/Owner Authorization - 03/06/2006MAR-02-210H-THC 1.2:15 PM
Community Planning and Environmental Services
Building and Zoning Department
City of Fort Collixis
SO 6 0 0 9
OWNER AUTHORIZATION TO OBTAIN A COMMERCIAL
BUILDING PERMIT
T, (Print) SI lok, (5t'^eer, 44 as owner of record (property
Address) . 351 Li.1o4•e 5-rec e-1, Sri 4111,�g _ known as (name of
business) VacawT 8VIai hereby authorize the work
listed below to be done on said property. Y understand that such work will be
performed only by contractors licensed by the City of Fort. Collins.
o T am giving permission for interior work only. The scope of the work shall be limited
❑ Z 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 -Cam v..t sA dA oc CAaw ft Pja
adbz T*d p��rce •��� .
(Property owner signature) I&A
The foregoing affidavit was acknowledged before me the --day of
- -- _ (month,year) by �+a A . P.,,,
for the purpose therin set forth.
Witness my hand and official seal.��
My commission expires: j-a - MAIINUA V� Sl4`vin�wnv
Notary Public
Permit__--
(Ofke use only)
281 North College Avenue • EO. Box 580 • port Collins, CO 80522-13580 - (970) 221-6760 • FAX (470) 224-6134