HomeMy WebLinkAbout2290 E Prospect Rd - Affidavits/Owner Authorization - 10/26/2011Fort Collins
Planning, Development & Transportation
281 N. College Ave
Fort Collins, CO 80524
Phone 970-416-2740 Fax 224-6134
BUILDING OWNER AUTHORIZATION TO OBTAIN A COMMERCIAL
BUILDING PERMIT
I, (Print) Lb
{ou
as owner of record (property
address) 2290
>
E- f'f'O� 1���—�
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.
❑ 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
® I am giving permission for interior and exterior work. The scope of the work shall
limited to :
(Property owner signature)
Deborah Pa�1e- for
(Property owner name, please print)
WN4 Commercial 1_I,.0
The foregoing affidavit was acknowledged before me on the c;�;, day of
.2.6 t ( (month, year) by��Z
for the purpose therein set forth.
Witness my hand and official seal.
My Commission expires
Notary Public
Permit #
OTfice use only 0 7