HomeMy WebLinkAbout2025 Sharp Point Dr - Affidavits/Owner Authorization - 08/21/2012177. City
tof Planning, Development &Transportation
���� •:� I 281 N. College Ave
2Fort Phone9i70-416-ins27404 Fax 224-6134
BUILDING OWNER AUTHORIZATION TO OBTAIN A COMMERCIAL
BUILDING PERMIT
I, (Print) o/'J�rii��` as owner of record (property
address) ''
�'" ' known as (name of
business) �f T �, �rS�y,, u ���
r hereby authorize the
work listed below to be done on said property. I understand that such work will only be
performed 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:
O I am giving permission for exterior work only. The scope of the work shall be
limited to:
�1 I am giving permission for interior and exterior work. The scope of the work shall
limited to :
rro
PertYpWnersignature)
(Pmperty owner name, please print)
The foregoing affidavit was acknowledged before me on the l day of
Ur the OUrpose therein set forth. month, year) byU1 cl
Witness my hand and official seal,
My Commission expires: Co � 24: 1b
Permit #
Office use only
T'd 8266 SLb 6TL HONA-lO dBo:eo 2T T2 2nd