HomeMy WebLinkAbout1126 W Elizabeth St - Miscellaneous - 02/06/2004City of Fort Collins
Coiniiluilily Plaitnino and l nvironinental Services
Building and Zoning Depar[nient
B0400611
OWNER AUTHORIZATION TO OBTAIN A COMMERCIAL
BUILDING PERMIT
I, (Print) 5
as owner of record ro e
f (p p rty
Address) _ &2(* //�. /�z � 1�
known as (name of
business)
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
tD
I am giving permission for exterior work only. The scope of the work s
to hall be limited
❑ I am giving permission for interior and exterior work. The scope of the work shall be
limited to
(Property owner signature)
e oregoineaffidavit was acknowledged
for the &dukrV e the CE2 forth (month,y
Witness my hand and official seal.
My commission expires:3CZa)U 5
Notary Public
Perm„ t ,
(office use only)
31" MTh -/lam.
281 North College Pvenue P.O. Box 580 •Fort Collins, CO 80522-
0580 • (970) 221-6760 • FAX (970) 224-6134