HomeMy WebLinkAbout2211 S College Ave - Affidavits/Owner Authorization - 07/01/2013Fort 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
1, (Print) 0")d l;Sck rile B i de as owner of record (property
address)_ a a t (- 302 known as (name of
business) i k (,j ej_f (�i (1 sCY\�S k rhereby 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: 1 Q- cUti..�q `Cp CXCcjc�
Oc Si 3`!
❑ I am giving permisslon for exterior work only. The scope of the work shall be
limited to:__
❑ 1 am giving permisslon for Interior and exterior work, The scope of the work shall
limited to:
rope yovmerslgnature) (ProPeItyoYmernam , Please print)
Ut�l�erS� j.(C�n1eY
The foregoing affidavit was acknowledged before me on the I day of
k-R (month, year) by PP/bl i� kle bryde
for the purlfose therein set forth.
Witness my hand and official seal.
My Commission explres: ni�ud/7olk
Permit # ( 3013?C�
OXCO use only