HomeMy WebLinkAbout3665 John F Kennedy Pkwy - Affidavits/Owner Authorization - 01/06/2004JAN-07-2004 WED 09:04 AM REALTEC C R E S INC
FAX N0, 9702821080 P. 02
004"'1301
Community Planning and Environmental Services
Building and Zoning Department -- - _
OWNER AUTHORIZATION TO OBTAIN A COMM :RCIAL
- I BUILDING PERMIT
1, (Print)Us �i'II-- I(I s4,etis-&J as owner of ri!cord (proper y
Address) known as (- ame of
business) —.-.—
TUX. rile e wo
listed below to be done on said property. I understand that such work v II be
performed only by contractors licensed by the City of Fort Collin.:
I am giving permission for.inberior work only. The scope of the work ;hall be llmiti :i
to--- demo nor load hhpartW wediS,4MoV. n�oo_ to (CL-t;V6
Q �►ti"ch
;2 I am giving permission for exterior wotk only. The scope of the work shall be limit d
to
o I am giving permission Ibr Interior and exterior work, the scope of t*:: work shall e
NNW to
(Pro owns► signatr
The f regoing affidavit was acknowledged befog
(month,year) I
for the purp&e therin set ford.
WIV*W my hand and olfidal seal.
ray camn„ss�on expires: /J �0 -D�
Pei —
(OMA wx oaty
281 North Collese Avenue • P.C. Box 580 • Fort Cofts,-CO 80522-0580 • (970) 221-6760 AU (970) -6134