HomeMy WebLinkAbout2626 S College Ave - Affidavits/Owner Authorization - 11/13/2012City of
Flirt Collins
Planning, Development & Transportation
281 N. College Ave P.O. Box 580
Fort Collins, CO 80524
Phone 970-416-2740 Fax 224-613
BUILDING OWNER AUTHORIZATION TO OBTAIN A COMMERCIAL
BUILDING PERMIT
I, (Print) as owner of record (property
known as (name of
business)f^ir $, L*!Sk At li 15nao2e- 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:
n
❑ I 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
limited to :
(Property owner nam ;please print)
1h
The foregoing affidavit was acknowledged before me on the 13 day of
Nnye.mber 2.012. (month, year) by kino, 0)connali)
for the purpose therein set forth.
Witness my hand and official seal.
My Commission expires:
Permit #
Office use only
i RINA MCDONALD
?!Notary Public
State of Colorado
!ny �oTmI001on ENplree January 06, 2015