HomeMy WebLinkAbout217 Linden St - Affidavits/Owner Authorization - 06/26/2013Clty}Of^A Planning, Development &Transportation
�6l„ t �V��1nJC 281.N. College Ave
Fort Collins, CO 80524 i
Phone 970-416-2740 . Fax 224-6134 .
BUILDING OWNER AUTHORIZATION TO OBTAIN A COMMERCIAL
BUILDING PERMIT
I, (Print) �ow� h�rJit Q M , �S aasowrter of rearm (property
address)- Zl? LIAAY&.j Gd✓rJ- known as (name of
business) ]?!U ktgab 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.
• X Lam giving permission for interior work only. The scope of the work shall be
limited to: ILwn&44 Ec�craiuct Fi-onaMc. /1�n�J-STtekcrkR,�[ !✓AuS
r
[]..I am giving permission for exterior work only. The scope of the work shall be
-limited to:
D. I am giving permission for interior and exterior work The scope of the work shall
-limited to
W(Jj►► p��"� C ecu^� &Liar
(P1ooperlyhwner y9na �d�✓, ux_
) p owner name; please pim
(R
The foregoing affidavit was admowledged before me on the 2_& day of
TuvNe , Zak 3 (month, year) try Gar v "b Grb.ves
for the purpose therein set forth.
Witness my hand and official seal.
My Commission expires: -j tq (15
Permit # GRETCHEN GEORGE V
O use only STATE
PUBLIC'
STATE OF COLORADO
NOTARY ID 198741 50712
MY COINMISSION EXPIRES JULY 9. 2015
3032 1