HomeMy WebLinkAbout1298 N College Ave - Miscellaneous/Owner Authorization - 07/06/2006Community Planning and Environmental Services
Fort Collins Neighborhood & Building Services
City ur i-arc c.?,u;t„ 281 N. College Ave., P.O. Box 580; Fort Collins, CO 80522-0580; Voice: 970 2216760 FAX: 970 224 6134
OWNER AUTHORIZATION TO OBTAIN A COMMERCIAL
BUILDING PERMIT
I, (Print) l.�i S CAI 'S;A� Amy p' as owner of record (property
Address) I W,, `8 0)0+ i 6i S77�F-4Oe,. �16k-} i�cXt known as (name of
business) U)EST&4 9-PPS,Q4 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 shall be limited
❑ I am giving permission for exterior work only. The scope of the work shall be limited
to
p( I am giving permission for interior and exterior work. The scope of the work shall be
limited to ram,// W&1 -G IAs A�r OL .s bV !�(Cc✓ei�S7,
1520 East Mulberry Street
RE). Box 145
Fort Collins, CO 80522-0145
(Property owner
The for going affidavit wad acknowledged before me op the day of
(month,year) by dU)rZtiOe . YYI2/ef
For the the p�n set forth.
Witness my hand and official seal.
My commission expires:
603/_ ®�
FNotary Public
e�mit # (�
(office use only)