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HomeMy WebLinkAbout3675 S College Ave - Affidavits/Owner Authorization - 10/31/2012Fort Collins Planning, Development & Transportation 281 N. College Ave Fort Collins, CO 80524 Phone 970-416-2740 Fax 224-6134 BUILDING OWNER AUTHORIZATION TO OBTAIN A COMMERCIAL BUILDING PERMIT I, (Print) o'l y �2 ��1 h C� i--� as owner of record (property f /e business) r0 14 C • 4 /�� n S / r �� known as (name of 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: Interior tenant finish, minor electrical, installation of non -load bearing walls. © I am giving permission for exterior work only. The scope of the work shall be limited p I am giving permission for interior and exterior work. The scope of the work shall limited to '(Property oownerslgnature) (Property owner name, p/easep nt) The ffo�regoing affidavit was acknowledged before me on the _ day of lft' (month, year) by TZO 5YS for the purpose therein set forth. Witness my hand and official seal. 'My Commission expires: ( Notary.Public _ :Permit # ' "ZLII"40�IZb2� ; .,},..•: ' . i0fte.ase.only y 1fia17et4 ' r za: zoia