HomeMy WebLinkAbout151 N College Ave - Affidavits/Owner Authorization - 03/19/2010Community Planning and Environmental Services
Fort Collins Neighborhood & Building Services
u 281 V College 4%e P O Box 580 Fort Collins CO 8022 0a80 Voice 970 2216760 FAX 970 274 6134
OWNER AUTHORIZATION TO OBTAIN A COMMERCIAL
//�� BUILDING PERMIT
I (Print) (SK1 lAl.L&6k Wo as owner of record (property
Address) IS( 11 ZcL"6E A V E known as (name of
business) NdRDYrS I MIL 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
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 A% P&L WA%&S%4 AA.LN A!� /4•.���6►S
9� TWA i PU6 VI
(Property o ner sig �ture) <,� 1
The foregoing affidavit was acknowledged befdre me on the /C day of J 'CRAP Y E
20/0 (month year) by a ) ) 7 pANICE(;
for the purpose therin set forth
Witness my hand and official seal
My commission expires (�J /Jf iU / MY CoWt ji,im llu II to uu Ip a
—� Nota) Public
Permit #
(office use only)