HomeMy WebLinkAbout1200 Oakridge Dr - Affidavits/Owner Authorization - 11/10/2014��Y �f'� Planning, Development l! Transportation
"VI't �. dhns 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) ' 7'irAPL-e-t . !-L Comas owner of record (property
address) /200 �.vJ�U1l,�G4 _ Vie; G..,�v known as (name of.
business) ��,rc,eT'��gfZiEY �5gfiR T IA77,L hereby authorize the
work listed below to be done on said property. I understand that such work will only be
performed cwbactm 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 permiiJssion ffonor,,
limited to:
work only. The scope of the work shall be
❑ I am giving permission for interior and exterior work. The scope of the work shall
limited to:
n/� .5�✓ JP �,Q�'Coasr.ac, L1..c�
/�/j' G�o Sco;f.Ocav6tAS
lPlgoerryownersgrtatrne) (p►+>�i'oasterxi►re; A�A�)
The freegoing affidavit was acknowledged before me on the 4 day of
(V t114U61, -01y (month, year) by Sep I Qo!�1l4.5
for the purpose therein set forth.
Witness my hand and offldal seal.
My Commission expires: Q-YA OLI) DID
lV�taryRubddc
Permit #
offibe ize a*
AARON P LEE
NOTARY PUBLIC
STATE OF COLORADO
NOTARY ID 20144022223
MY COMMISSION EXPIRES JUNE 04, 2018