HomeMy WebLinkAbout124 E Monroe Dr - Affidavits/Owner Authorization - 08/29/2002City of Fort Collins
Community Planning and Environmental Services
Building and Zoning Department
B0205491
OWNER AUTHORIZATION TO OBTAIN A COMMERCIAL
BUILDING PERMIT
I, (Print)
Susan Harrison
as owner of record (property
Address) 124 East Monroe Street, FTC 80525 known as (name of
business) Jewelry Emporium 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.
11
Xx I am giving permission for interior work only. The scope of the work shall be limited
to_ Remodel/Tenant finish according to plans and specifications.
❑ 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 be
limited,to
(Property owner signature)
Th foregoing affi avit w_ _ a� acknowledged before me on e day of
s� (month,year) by
for the pi arose therin set forth.
Witness my hand and official seal.
My commission expires: (Q -C 7), 7--< )--) -
Permit It
(office use only)
LjNotary Public
281 North College Avenue • P.O. Box 580 • Fort Collins, CO 80522-0580 • (970) 221-6760 • FAX (970) 224-6134