HomeMy WebLinkAbout4745 Boardwalk Dr - Miscellaneous - 03/24/200403/24/2004 12:10 9704935928
a-ne, �n irormental Sen-ices
PAGE 01
Con=Uni%7
Building
and Zoning Depallt=e '
B04015,6.4
City of 'fort i✓o��
ORIZAT ION TO OBTAIN A COMMERCIA
OWNER AUTH BUILDING PERMIT
],, (Print) ��'� 1
d as owner of record (property
D known as (name. of
Address) 104 5 Lr, ;� t i a ►
hereby authorize the work
Qmo
r
business) nd that such work will be
listed below to be done on said pro perty• i understa
the Gity of Fort Collins.
_performed only by Contractors licensed by of the work shall be limited
o I am giving permission for interior work only. The scope �
a I am giving p mission for exterior work only���Dpe of the- work shall. be limited
to
o I am giving permission for int
erior and exterior work. The scope of the work shall be
limited to
(Property ner ture)
The foregoing affidavit was acknowledged earDb m°n the
(mcnti,Y ) Y _.'
for the purpose therin set forth.
Witness my hand and official seal.
My commission expires: 41�
Notary Pu
Viol AIRY
BY of
Permit ry -24
(office use only) 2� 0 • (970) �21-6760 • r_ (9n/0) 1.__'613
,�, ;,;,,.,1, rn11F�e ��*enue • P.O. Box 580 • Fort Collins, CO 505�--
056