HomeMy WebLinkAbout1730 S College Ave - Affidavits/Owner Authorization - 05/26/2016City 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) Lester Kaplan as owner of record (property
address) 1730 S College Avenue, Fort Collins, CO 80524 known as (name of
business) -r,^ -tiO �L�%pCiS�S . ��c_. 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.
X] I am giving permission for interior work only. The scope of the work shall be limited
0
to:. Demolition of acoustical ceiling tiles, drywall, interior doors, cabinetry and minor
electrical
I am giving permission for exterior work only. The scope of the work shall be limited
to:
limited to :
Lester Kaplan
(Property caner si nature) ( Property owner name; please print)
The foregoing affidavit was acknowledged before me on the 2 day of
AtNJ I Z C C Le, (month, year) by -Z-C,,V A
for theipul•pose therein set forth.
Witness my hand and official seal.
My Commission expires:
Notary Public
Permit #
Office use only
ZACHARY ZfGICH
Notary Public
State of Colora6o
Notary to 90.14.4046359
My Commission Eiipires,Dac_ 12, 2018