HomeMy WebLinkAbout212 E Monroe Dr - Affidavits/Owner Authorization - 05/14/2003MAY-14-2003 WED 01:32 PM EVERITT COMPANIES FAX NO, 19702234156
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City of Yot•i C oll im
36
OWNER AUTHORIZATION TO OBTAIN A COMMERCIAL
BUTL_DINC PERMIT
I, (Print) 1Lfi owner of record (property
Address), ee n-t known as (name of
busincs�,) (owe _(0.,1,'�._.,n.a �� e�Y-' hereby authorize the work
listed hclow Lo bo dono on said properly. I understand that such work will be
performed only by contractors licensed by the City of Fort Collins.
fir 1 am giving permission for interior work only. The scope of the work shall be limited
to
La ] am giving permission for exterior work only. The
scope of the work shall be limited
to
n I am giving permission for interior and exterior work. The scope of the work shall be
limited to _ ---
-it .R t•Ecc.� Gc� s�3c�.-Irc�°�Yr� Tic
(Property owner signature)
'i he f rcgoing amdavit w��s acknowledrled before me on the n{ clay of
,I L-.._ - -..._ �1.14L�Ili,year) by
for the purpose therin set
Witness my hand and off)
My commission expires:
t l Ndta public
My Cum6%jon (piles ovoiinON
(office use only)
�.,� �'Sl North f ulluge A%'enu(' • PCB. Do% 560 • Fort C allins, CO 805222-0580 • (970) 221-6760 FAX (970) 224-6134