HomeMy WebLinkAbout1801 S College Ave - Affidavits/Owner Authorization - 12/22/2011Fort 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/�4�
i I _ _ Z / o -!!!!'%L�-
I, (Print) X-(fa %i;/ ari ./'leak owner of record (property
address(2 xfl/'• known as (name of
business) ] Jr ('Y'/ oc-?4(T? JiFereby 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.
K 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: Z- -r c:;t Zo vc,
M� I am giving permission for interior and exterior work. The scope of the work shall
limited to :
e P1 J AeCe C I-w /.r
i
(Prope ownersignatu) (Property owner name, please Annt)
The foregoing affidavit was acknowledged before me on the oG a day of
G¢C--rn6,V\- 02o I I (month, year) by +(54- M ,- -
for the purpose therein set forth. KjqjjgTA M. MAN
Witness my hand and official seal. NOTARY PUBLIC
STi4T€ O�.COLORADO
My Commission expires: a I a31� / My Commission Expires reb.23, 2013
Notary Public
Permit 5
)( I am giving permission for exterior work only. The scope of the work shall be
limited to: Z- -r c:;t Zo vc,
M� I am giving permission for interior and exterior work. The scope of the work shall
limited to :
e P1 J AeCe C I-w /.r
i
(Prope ownersignatu) (Property owner name, please Annt)
The foregoing affidavit was acknowledged before me on the oG a day of
G¢C--rn6,V\- 02o I I (month, year) by +(54- M ,- -
for the purpose therein set forth. KjqjjgTA M. MAN
Witness my hand and official seal. NOTARY PUBLIC
STi4T€ O�.COLORADO
My Commission expires: a I a31� / My Commission Expires reb.23, 2013
Notary Public
Permit 5