HomeMy WebLinkAbout1212 Oakridge Dr - Affidavits/Owner Authorization - 03/22/2004P.02
KqR-22-2004 12:13
Cor�lmvnity Plarinin and EnvilronmentL Services
Building and bring Depawwflt
cx �rrwc B0401430
OWNER AUTHORIZATION TO OBTAIN A COMMERCIAL BUILDING
PERMIT
I, (Print) as owner of reed (propertY
Address)11 a1 it np i� dlill c— unn as (name of
business) _ CA RBAt3a+4S ti LI N G�► t it hereby authorize the work
listed below to be done an said property. I understand that such work will be
performed only by contrarctors licensed by the City of Fort Collins.
a 1 am gluing p&mMon for interior work only. The scope of the work shall be limited
to
o I am giving permission for exterior work only. The scope of the work shall be limited to
o/I am giving permission for interior and exterior work. The scope of the work shall be limited to
A �cr�s,.n,. —a Go � cr�so6�-
(o owner signature)
ng a ackwwledged before me on th rd day of
2 0 was (month yeao try Q • a QC�4 for the purpaw
therm set fertll,
,.►u
1N&*-% my hand and official seal.
s`• �
My commi&*n expires: J µit. 2-4, ?.Ot16 > aa►.»ve.
291 North College A ame • Poo. Box 5W • Fort Collis» Co easn-aw (970)221-6760 -FAX (WO)22A4134
94;1 P.02
MAR-I?-2004 IS:49 TOTAL P.02
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