HomeMy WebLinkAbout1611 S College Ave - Affidavits/Owner Authorization - 02/25/2011City of Planning, Development & Transportation
F6rt Collin ;81 N. College Ave
Fort Collins CO 80524
0 7 7 900ne 970-'416-2740 Fax 224-6134
BUILDING OWNER AUTHORIZATION TO OBTAIN A COMMERCIAL
BUILDING PERMIT
1, (Print) &j'&Q4C1Z"1—as owner of record (property
it 3, C-1/ege- 42 e-
address) 4 go S- -as- known as (name of
business) . .... ... 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.
0 1 am giving permission for interior work only. The scope of the work shall be
limited to:
0 1 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
limited to C' 14. c X cc) cv?
owner
C.
(Propetty owner name; please print) nt),
-7 'Ltl
The foregoing affidavit was acknowledged before me on the A -I-'— day of
Fra--docu'd f-tA— P11111111 L CG 4ALa4
for the purpose th;*ein set fo �0
N
Witness my hand and officiarneati. .,-OTA.9
My Commission expir�s'
0
"O�
'//-/Ij OF cov
Permit #
Ofte use only