HomeMy WebLinkAbout2190 W Drake Rd - Miscellaneous/Owner Agent - 10/12/1994OCT-11-' q4 TUE 15: 58 1111: TEL [Aii: ##730 FGt3
Develor
ent Services
Building
1'rrmits & Inspections
f]ivisic+n
9433
43
pity of Dort Collins
OWNER'S AGENT AUTHORIZATION FOR OBTAINING A PERMIT
I (We), (print) nr,ka �rnssinu Limited Part.nPrSt,jU_ _.
of record of the property located at the follow)
2
�I iris, CO _ 8D52
as owner(s)
address:
hereby authorize (print) :. F'hat s P. tr_ait_S,_---
to act on my (our) behalf for the purpose& of obtaic,ing a permit
and performing the non-structural work described th"r_ein as
identified on permit
I (We) acknowledge that the agent named above is my (our) employee;
or is acting on my (our) behalf without any fee, compensation, or
trade in -kind for the above work.
Further, I (We) understand that payment of such fees or
compensation to the named agent for the above work consti+•1'-es A
"construction contract" and a violates the Contract prise
prov sions of the Fort Collinf Code, and wi ' tesult in rovo�.� A.an
of the above permit and possible trt summ.-ns.
---------------------_ ..
(owner agent's signature)
DRAKE OSSING 4ITD P R RSHIP
BY GENERAL PARTNER
GEOF UGHLner signature)
The�Qregoinq instrument was acknowledged before me this `day
of - -- 199 �f by
for the purpose therein set forth. Wines my hand and official
Seal- My commission expires;_ - � 3 yj..� -
r n n t ��.
Notary pub 'c
281 N. Co f. � 1 � rt l,rl i i-.-
:k�'tnut 1 l i{cr 1 i s