HomeMy WebLinkAbout3711 John F Kennedy Pkwy - Affidavits/Owner Authorization - 02/23/2011Community Planning and Environmental Services
Fort Collins Neighborhood & Building Services
Citvof Fort Collins 281 N. College Ave., P.O. Box 580; Fort Collins, CO 80522-0580; Voice: 970 2216760 FAX: 970 224 6134
OWNER AUTHORIZATION TO OBTAIN A COMMERCIAL
BUILDING PERMIT
3Pt ro (94. oer
I, (Print) FDx t as owner of record (property
Address) -5-O Q known as (name of
business) 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.
am giving permission for interior work only. The scope of the work shall be limited
-el eC4-c i CO 1 :=k- �; r is en-"
❑ I am giving permission for exterior work only. The scope of the work shall be limited
to
o I am giving permission for interior and exterior work. The scope of the work shall be
limited to
Th for going affidavit was ackno\
for the purpose tlih set forth.
Witness my hand and official seal.
My commission expires: *1 1ZG
8110088m# i
(office use only)