HomeMy WebLinkAbout802 W Drake Rd - Affidavits/Owner Authorization - 01/30/2003Jan-30-2003 05:04pm From-NASH FINCH COMPANY
19528441044 T-110 P.002/002 F-299
City of Fort Cullins
Community Planning and rnyi>rmunental Services
Building and Zoning Deparl-mrnt
L,2)
OWNER AUTHORIZATION TO OBTAIN A COMMERCIAL
BUILDING PERMIT
I, (Print) NASH F►a (-A COM PA ti 11;(S, P_NeFj c jXL . * owner of FPmd (property
Address) 906? w EST 0g kiCI k4, S k rrr 4 known as (name of
business) S i A Int K S l a FM 1'5 b71 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 port Collins.
Ic"'I am giving permission for interior work only. The scope of the work shall be limited
to t' 0N.S79utnoA1 Of �,q �� ,. s� 7NIs 194-ti o(tisaoA/ , LS A�sr
7M (-f1 m jE4T bF A1yV LJ Ey a/V LANt0r o 1S �Z N7r0e. _
o I am giving permission for exterior work only. The scope of the ; work shall be limited
to
,OK-1 am giving permission for interior and exterior work. The scope of the work hall be
limited to _r--;h„ fe]As -Lie r.4 W 4y n rell.e- E ✓; h, -d dr S d
„4. 03_ -
(Property owner signature)
e foregolnq affidavit as acknowledged before me on the �� _dayy of
(month,year) by (•JL1I,(. L, T-. r„ 1�� 14
or the pu ose therin set forth,
witness my hand and official seal,
•
My 'MMA L. MORGIEC
NOTARY PUBLIC-MINNESOTA
Mr COMMia n Eom Jim. 9+, 2W
Perm>k �'
Notary P:►blic
(n49ir:. Ile* nnLA