HomeMy WebLinkAbout4820 S College Ave - Affidavits/Owner Authorization - 07/22/2015City of Planning, Development & Transportation
Fo1 t Collins 281 N. College Ave
For
Fort Collins, CO 80524
Phone 970-416-2740 Fax 224-6134
ID, t '
BUILDING®WNER QUTHORZ'ZATION TO OBTAIN A COMMERCIAL
BUILDING PERMIT
I, (Print) T. Thomas Metier as owner of record (property
address) 4820 S College Ave,l7orl Collins. Co 80525 known as (name of
business) Metier Law Firm 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 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
® I am giving permission for interior and exterior work. The scope of the work shall
limited to :
Me-k-er ArOP,41PS 1 GEC
T. Thomas Metier-,AerA )fir
pity own r signatur (Property owner name; please print)
r�+P os 1� j LL
Ia41-0)
The foregoing affidavit was acknowledged before me on the day of
3VXA,) t 3�0 J (month, year) by
for the purpose therein set forth.
Witness my hand and official seal.
My Commission expires:
Permit #
Office use only
P �
ary Public
JUUE MELCHER
NOTARYPUBUC
STATE OFCOLDRADO
NOTARY ID:'20054049205
MY COMMISSION EXPIRES NOVEMSFAB 2017