HomeMy WebLinkAbout3711 John F Kennedy Pkwy - Affidavits/Owner Authorization - 07/28/2010CoznMUrdt' P1anning,,u-id EntTironinental Services
BuEding and Zo,,ung Department -
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OWNER AUTHORlZkTION TO OBTAIN A COMMERCIAL BUILDING
PERMIT
I, (print) as owner of record (property
Address) :3 known as (name o.;
business)` 2 f hereby authorize the work
listed below to be done on said property. I understand that such work will be
perfornt-ted only by contractors licensed by the C4 of Fort Collins.
VA am giving permission for interior work, only. The scope of the work shall be limited
t0`lam f 1` a x
.e je C-
o I am giving permission for exterior work only. The scope of the work shall be limited to
a i am giving permission for interior and exterior wort The scope of the work: shall be limited to
(pro owner signature)
i he foregoing affidavit was acknowledged before me on the
' `dais of
S t , )_---(month,year) by 'i-,rth, _ �a4 _. for the purpose
therin -A forth. A
Witness my hand and official
+ $
My commission expires: � *pCiT LIC �,
31Z, IZat1 K
281 l\?or*.h College Avenue • P.O Bex 58.0 • Fort . llins CO BOV4 • (970)221-675o • rAX