HomeMy WebLinkAbout900 E Lincoln Ave - Affidavits/Owner Authorization - 05/30/2003Community Planning and Environmental Services
Building and Zoning Department
City of Fort Collins
OWNER AUTHORIZATION TO OBTAIN A COMMERCIAL
II (BUILDING PERMIT
I, (Print) 16 m4 4aC� -S as owner of record (property
Address)
':�00
E . �..� �X,duJ 14Q
known as (name of
business)
V Af4
W czy—s
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.
o 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
XI am giving permission for interior and exterior work. The scope of the work shall be
limited to Co&-3bTI.L'-C.T-'0� e1r A- 41--CAL &c 46, 'TNA-T
perty owner signature)
The foregoing affidavit was acknowledged before me on the 30 ik — day of
I -AA --I 0 ZDb"j (month,year) by emT4 i 'SS
for the purpose therin set forth.
Witness my hand and official seal.
My commission expires: 9)a7 f03
Permit #
Notary Public
(office use only)
281 North College Avenue • P.O. Box 580 • Fort Collins, CO 80522-0580 • (970) 221-6760 • FAX (970) 224-6134