HomeMy WebLinkAbout2720 Council Tree Ave - Affidavits/Owner Authorization - 06/30/2014C . ity of
F6rt Collins
Planning,, Development & Transportation
28.1 N.. College Ave
Fort Collins, CO 80524
Phone 970-4164740 Fax 224-6134
BUILDING. OWNER AUTHORIZATION TO. OBTAIN A COMMERCIAL
BUILDING PERMIT
1, (Veint) Un- MnCAJ JUMA as bwnOpf record (prope�ity
ziddress)V20 e/-eu ri,6! I a& Adle.. c),, ik ZC0 known as (name of
I business) 14roe- VL114�-10hereby 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 Lam giving permission for interior work -only. The scope of the work shall be
limited to:
Ll -I am giving permission for exterior work only. The scope of the work shall be
limited to,
)if I am giving permission. for Interior and exterior work.. The scope of the work shall
limited to:, 711F
ftoperty ownee signature)
AA14-21. "C (IJI111,
(property owner name; please print)
The foregoing. affidavit was acknowledged before me on the. A06'4t-- day'of
U ru Crnonthyeary:by 4HO-Lih(p
for the purpose therein set forth.
Au' 3