HomeMy WebLinkAbout1136 E Stuart St - Affidavits/Owner Authorization - 11/25/200911/24/2009 13 it 9703771818 COMPLETE CAST SERV PAGE 02/02
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I Buildxng and Zonmg Depavilnent
City of Fort Collins
OWNER AUTHORIZATION TO OBTAIN A COMMERCIAL
BUILDING PERMIT
I, (Print) x' � G, 0*>/1'W as owner of record (property
Address) n / LL STZ' A-YI-y- known as (name of
business) 0l j'L,"� O 0 ZJ I A4f hereby authorize the work
listed below to be done on said property I understand that such work will be
performed only by contractors lxxnsed by the City of Fort Collins.
KI am giving permission for interior work only The scope of the work shalt be limited
to MIS N*--j car. .sT C-N PA-�rJVN
o I am giving permission for exterior work only. The scope of the work shall be limited
to
❑ I am giving permission for interior and exterior work. The scope of the work shall be
limited to
al 14 A.=A
roperty owner Lure)
The foregoi g idavit was acknowledged before me on the 7 day of
'1�w9 d�ir:gel (manth,year) by L.L" r� 'I`r.}.s-�► it's
For the purpose therm sef forth. —.00+
Witness my hand and offical g H u� 131-' 4
My commission expires , N pF 00 �RP'L'�
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Nola ubtrc
Perm1t #
(office use only)
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