HomeMy WebLinkAbout4745 Boardwalk Dr - Miscellaneous - 03/24/2004 (2)03/24/2004 12:10 9704935928
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Building
and Zoytisg Dept
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city of Fort Collins COt�h�CERCIAL
ORSZAT1ON TO OBTAIN A
OWNER AUTH BUILDING PERNixT
_ 3s owner of record (property
I, (Print) {2�nQ I d
' CO) known as (name. of
X�r; ,�ccl J���z� Its
Address) hereby authorize the work
T)abusiness) r
I, .
o_mn� r
on said property• I understand that such work will be
listed below to be done the City of Fort Collins,
_pew ed onlY� contractors licensed by
for work only. The scope of the work shall be limited
a I am giving permission for inter
1 n
�1C.
a I am giving p mission for exter
ior work only��Dpe of the work shall_ be limited
to
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I am giving permission for interior and e) to rior work.
limited to
The scope of the work shall be
tore) / ^ �a��'� ARV
(Property ner ^
day of
Icd ed before me on the l
of davit was acknow 9
The foregoing mont`i,Year) by
(
erin set rth.
`o
for the purpose th
Witness my hand and official sea' -
my commission expires:_--
``— - NotaN Publi
Permit 970 71 6134
(office use only) �� 096U • (970) y21-6760 • r` ( )
�, ;,;,,r,i, CnllF�e �uenue • T?O. Fox 5SG •Fort Collins, CO 805�=