HomeMy WebLinkAbout1029 Robertson St - Miscellaneous - 03/17/2003Community Planning and Environmental Services
Building and Zoning Department
City of Fort Collins
OWNER AUTHORIZATION TO OBTAIN A COMMERCIAL
BUILDING PERMIT
I, (Print) Hog AJAu,AL-T— as owner of record (property
Address) known as (name of
business) /�drt,�� ,4/��znL_�zUltT£rz� 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 ex�ten work. The scope of the work shall be
limited to !O '�2Z' �101?ll�vl.1
(Property owner signature)
The foregoing affidavit was acknowledged before me on the 1 �day of
C�la�,h Zo03 (month,year) by
for the purpose therin set forth. Alfa"j'jj'gq'
Witness my hand and official seal. t3 OT e
My commission expires: 1 -GU
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Notary Public
Permit #
(office use only)
281 North College Avenue • P.O. Box 580 • Fort Collins, CO 80522-0580 • (970) 221-6760 • FAX (970) 224-6134