HomeMy WebLinkAbout649 S College Ave - Affidavits/Owner Authorization - 06/21/200406/21/2004 14:19 303355913E SEND EM PACKING PAGE 02
Community Plannim and Environmental Services
Budding and Zoning Department
t'ih aa`i•nrrc.'iilin� 80404023
OWNER AUTHORIZATION TO OBTAIN A COMMERCIAL BUILDING
PERMIT
I, (Print) of record (property
') known as (name of
business) hereby authorize the work
listed below to be done on said property. I undersianid that such work will be
Pwftsned 01* by ax&acbDm Ooen9ed by the City of fFolt CoNlrts.
o I am giving permission for ini5erior work only. Tire scope of the work shall be limited
o I am giving permission fpr exterior work only. The scope of the work shall be limited to
s►' I �&M, PT ny."n for intnor and work. 'Tbe= of the work shall be limited to
-A kp4
C .'
Witness my hand and official sent.
My mmmission expires: l
WCOMMUMOMMO&MM
101 CAUFOANIA MEET
• FAX (970)224-6134
Community Planning and Environmental Services
Building and Zoning Department
ON of Fort Collins
80404023
Commercial Construction Application Information
Revised May 10, 2000
Application Number:
Job Site Address: y`I 'SCyjje� AyC, Unit # B
New Building Addition Remodel/TF_��
Name of Business: -� L" :)' -,
Proposed Use: (i.e. medical, office, bank, retail, etc) VIE'. 7—A 14
Project square footage:
For commercial remodels and tenant finishes, please answer the following:
❑ Is the remodel/tenant finish for an existing tenant or new
tenant?
❑ If for a new tenant, is this the first tenant to occupy this
space? Y�b
❑ If not the initial tenant for this unit, what was the previous use of this tenant space? (If
known) 12222zp � /eS
❑ Are there any exterior elevation changes associated with the
work? L15
Describe:
Sig'natA
Name (Pleas print)
-2 / ._0 y
Date
c;2/S-9"�
Local daytime phone #
281 North College Avenue • P.O. Box 580 • Fort Collins CO 80522-0580 • (970)221-6760 • FAX (970)224-6134