HomeMy WebLinkAbout2057 Vermont Dr - Miscellaneous - 10/10/2003City of Fort Collins
Community Planning and Environmental Services
Building and Zoning Department
80306758
OWNER AUTHORIZATION TO OBTAIN A COMMERCIAL
BUILDING PERMIT
I, (Print) STANLE Y X F,jeFAz rr- as owner of record (property
Address) 2cn,-7 „ g Via T known as (name of
business) Trm a I-rIzE T6 y GF r 2 4,rn 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.
❑ I am giving permission for interior work only. The scope of the work shall be limited
❑ 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 19CM6ee l— w Z EQ-•c,tro2 out7wywenck i
Z4�
'(Plroperty owner signature)
The f r go' g ffidavit was acknowledged before me o t e �, f
(month,year) b
for e purpose therfn set forth.
Witness my hand and official seal.
My commission expires: 1-11— —
Permit
(office use only)
Notary Public
MANAAL
JIPrA� .- -PUBLIC t
281 North College Avenue • P.O. Box 580 • Fort
FAX (970) 224-6134