HomeMy WebLinkAbout111 N College Ave - Miscellaneous/Owner Authorization - 04/21/2006 (2)Community Planning and Environmental Services
Building and Zoning Department
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OWNER AUTHORIZATION TO OBTAIN A COMME"6t"'�b 6
PERMIT
I, (Print) as owner of record (property
Address) _ �Ll Al, rAlle4 a fl ✓e , known as (name of
business) fA a won a hereby audxxtze the work
listed below to be done on said property. I understand that such work will be
perb'orened only by contractors licensed by the City of Fort Collins.
❑ I am giving permission for interior work only. The scope of the work shall be limited
to
❑ I am giving permission for exterior work only. The scope of the work shall be limited to
ji' I am giving permission fbr interW and exterior work. The SCDpe of the work shall be limited to
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The fte9oin9 was admowledged before me on the / f day of
(monthy�<<��'�"�►�"'������
\ �C�r
.rr�," ear)by -- [_�2�n., ii-nnJA;1 ?�����i`i�A �
therm set forth.
Witness my hand and otiidal seal.
My commission expires:
M1'MISSION EXPIRES4j=7
t�OTAR
NJ, ` PUBV0 :` O
COS.
281 North College Avenue • P.O. Box 580 • Fort Collins CO 80522-0580 • MO)221-6760 • FAX (g70)224-6134