HomeMy WebLinkAbout1250 E Magnolia - Affidavits/Owner Authorization - 11/08/2010Fort of
Planning Development & Transportation
281 N College Ave
Fort Collins CO 80524
Phone 970 416 2740 Fax 22+6134
BUILDING OWNER AUTHORIZATION TO OBTAIN A COMMERCIAL
BUILDING PERMIT
I (Print) Zack Pollard OM acmkF f1f U AY tr as owner of record (property
address) 1250 East Magnolia St known as (name of
business) Walmart Store # 7 9 hereby authorize the
work listed below to be done on said property I understand that such work will only be
performed contractors licensed by the City of Fort Collins
❑ I am giving permission for interior work only The scope of the work shall be
limited to
❑ 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
Slgnage and infill kalwall with EIFS at Vestibules
roperly owner
)
Zack Pollard
(Property owner name p/easepnnt)
The foregoing affidavit was acknowledged before me on the day of
y\ey e� a0 t j�month year) by _ T o Q Q &-A co
for the purpose therein set orth
Witness my hand and official seal
My Commission expires
Permit
NmJ AqV °8EAL V 1
Ten S Hite NotaryPublic
Benton County State of Arkansas
My Commission Expires 2/1/2011
otary Pub/Ic
81007460