HomeMy WebLinkAbout460 S College Ave - Affidavits/Owner Authorization - 05/10/2016City of
Fort 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, (Print) 1 AM i _- KAFF as owner of record (property
address) MANAGER known as (name of
business --hereby �\ �--'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 : 460 S. College Ave, Suites H-J, non-structural interior tenant finish for Great Clips hair salon and
9soL'1U "d-extKlor signage.
,ty owner signal y) (PropeitX&fvhb?name, please print)
The foregoing affidavit was acknowledged before me on the �,.� day of
(month, year) by
for the pur ose therein set forth. t `—
Witness my hand and official seal.
My Commission expires: (r e"i kzc:Kl
r Nglm
Permit #E_') 100
Office use only
SABRENA L STANLEY
NOTARY PUBLIC • STATE OF COLORADO
My Identification 8 20154022760
Expires June 9, 2019