HomeMy WebLinkAbout314 E Mountain Ave - Affidavits/Owner Authorization - 12/30/2009Community Planning and Environmental Services
Building and Zoning Department
s
City of Fort Collins
OWNER AUTHORIZATION TO OBTAIN A COMMERCIAL
BUILDING PERMIT
I (Print) �1L- � 15 1 as owner of record (property
Address) 3 (Li I:P�iT-M6U(Q?4N P� known as (name of
business) 31 AIN6 MCP' , LUL hereby authorize the work
listed below to be done on said property I understand that such work will be
performed only by contractors licensed by the City of Fort Collins
2/�I am giving permission for interior work only The scope of the work shall be limited
to 2AArS 5(BA (71'i�9D
o I am giving permission for exterior work only The scope of the work shall be limited
to
a I am giving permission for interior and exterior work The scope of the work shall be
limited to
(Property owner signature)
e foregoing was acknowledged before me the Q day of
4Ot.R,66je cDOC '/ (month year) by O!/1S�Ul
for the purpose therin set forth
Witness my hand ano official sea'
V/ Comm ssion expires
Ae,
otary Pu
Permit #
(office use only)
281 Noith College Avenue PO Boa 580 Fort Collins CO 50D22 0580 (970) 221 6760 FAX (970) 224 6134