HomeMy WebLinkAbout2540 E Drake Rd - Affidavits/Owner Authorization - 05/21/2013City of j Planning, Development & Transportation
Flirt Collins) 281 N. College Ave
Fort Collins, CO 80524
P e 970-416-2740 Fax 224-6134
BUILDING OWNER AUTHORIZATION TO OBTAIN A COMMERCIAL
BUILDING PERMIT
I, (Print) S k V e, S Cde ( ON a; e r as owner of record (property
address) 2,5-L{0 E. &U44' it 0j-- known as (name of
business) 6 /r aI' ( 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:
❑ I am giving permission for exterior work only. The scope of the work shall be
limited
I�( I am giving permission for interior and exterior work. The scope of the work shall
limited to: Wtuy 6~^ lt6ut& Lut ASS.eni&-bd Ar;Ves,
(Property owner signature)
s+eJc. s+gar'1V-,(k;e-4
(Property owner name; please print)
The foregoing affidavit was acknowledged before me on the day of, 1
(month, year) by Gl-
for the/purpose therein set forth.
Witness my hand and official seal.
My Commission expires: a ILI I W `3
Permit #
Office use only