HomeMy WebLinkAbout1700 S College Ave - Affidavits/Owner Authorization - 05/25/2016:� City Of Planning, Development & Transportation
1, `1 281 N. College Ave
a rt "o W �� Fort Collins, CO 80524
Phone 970-416-2740 Fax 224-6134
BUILDING OWNER AUTHORIZATION TO OBTAIN A COMMERCIAL
BUILDING PERMIT
I, (Print) d LCP 14 "k —as owner of record (property
address) 1 "70 D S, G.-W Je 49:e known as (name of
business) % Oy .%J%e_LLC _ 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.
1 I am giving permission for interior work only. The scope of the work shall be
limited to: 1 i'vrrfi, 1'- ,n t. J, C,/Ly (Wll � L�� C) 5 L.'��Z''c
_ t'G I'1 �in.S l,7 G' GrC n. r t' t( to ter' it Masi a'r f�n.':n
❑ 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 :
'Property oVv r nd� e; please pMi)
The �-
foregoing affidavit was acknowledged before me on the _�� day of
__r�,w. 0 I (p A. (month, year) by t
d.
for the purpcs herein set forth.
Witness my hand and official seal.
My Commission expires: 15- 91.- aBi $
01,
Permit -
Office use only
9NNIFER BYBEE
Notary Public
State of Colorado
Notary ID 19984014250
klv Commission Expires May 21, 2018