HomeMy WebLinkAbout731 S Lemay Ave - Affidavits/Owner Authorization - 03/12/2014Fort Coltans
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) '-roddl $sorn as owner of record (property
address) -731 So utk Lem x Ef- Gollt ) Co known as (name of
business) A IbecfS o n s -A 87 6 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 I am giving permission for Interior work only. The scope of the work shall be
limitedto: Phac-rno�cy^ exp4zsion, in.st&-ll o+ mt5c
��t-t�I Prn e n'�. fie pail c- ` u�rade o'f 'F1 n iSheS
IJ I am giving permission for exterior work only. The scope of the work shall be
limited to:
0 I am giving permission for interior and exterior work. The scope of the work shall
limited to :
(Property myner signature)
oad ZSorn
(Property owner name; please pant)
The foregoing affidavit was acknowledged before me on the ��� day of
��-� 7 CJ, , 49 0 (month, year) by I L�(AC�
for the purpose therein set forth.
Witness my hand and official seal.
My Commission expires: • a a t, `�
Notary Public
Permit #
office use only