HomeMy WebLinkAbout2539 S College Ave - Affidavits/Owner Authorization - 05/14/2012�F6rt Collins
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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
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address) $ -knowM 09 (A8FRs�
byy}Resy} — !E5CT4-%fd A- - M V-9LIU%L. hereby authorize the
work listed below to be done on. said property. I understand that such work will only be
performed contra ctors.licensed by the City of Fort Collins.
J8 I am giving permission for Interior work only. The.scope of the work shall be
limited to:
O I am giving permission for exterior work only. The scope of the work shall be
limited to: .
g I am -giving permission forinterior and exterior work. The scope of.the work shall.
limited to :
(Property ow r name; please print)
The foregoing affidavit was acknowledged before me on the .dayW
(month, year) by 4�D L - (GE L
For pur oee therein set forth':--�V
Witness my hand and official seal:
My Commission expires: 4. 16.1(0
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