HomeMy WebLinkAbout1013 Centre Ave - Affidavits/Owner Authorization - 02/18/2016Fort C®ttins
Planning, Development & Transportation
281 N. College Ave
Fort Collins, CO 80524
Phone 970-416-2740 Fax 22+6134
BUILDING.OWNER AUTHORIZATION TO OBTAIN A COMMERCIAL
BUILDING PERMIT
I, (Print) Jonathon Rankin (Confluent Development, LLC) as owner of record (property
address) 1013.Centre Avenue, Fort Collins, CO known as (name Of
business) (Future) Mod Pizza hereby authorise 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 Port Collins.
E I am giving permission for interior. work only. The scope of the work shall be
limited to:
13 I am giving permission for exterior work only. The scope of the work. shall be
limited to:
�I am giving permission for interior and exterior work. The scope of the work shall
limited to :_demolition of existing.interiortcnant per plans, removal of existing exterior
gc nditions per plans, addition of interior work per plans, and modification to
erior conditions per plans and approved site plan amendment
Jonathan Rankin (Confluent Development, LLC)
(Pro wnerslgnature) Ompertyowner name, please print)
a
The foregoing affidavit was acknowledged before me ion the ' day of
Ftb VIM N 201 (month, year) by
for the purpose th rein set forth.
Witness my hand and official seal.
y Commission ex ires: ��.
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