HomeMy WebLinkAbout1221 E Elizabeth St - Affidavits/Owner Authorization - 08/19/2016 (2)1
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�!( r.1s....:, .... 29 nnin9Development & Transportation
. 1:N. Co11 ege Ave
Fort Cnlllns, CO 80524
Phone 970-416-2740 Fax 224-6134
BUILD! NG OWNER AUTHORIZATION. TO OBTAIN A COMMERCIAL
BUILDING PERMIT
as owner of record (property
address).(tr1 r
h f ID, known as (name of
tiuslriess
)lllillir�C/VO((1S.('rt� i�,^� �`I� Fierebyauthorizethe
i!uOYk`llsted: below to be -done on said.
property.. I understand that such work will only be
p
Performed contractors licensed by the City. of Fort Collins.
I am-glving.permission for Interior work only. The scope of the work shall be
'lmited.tb:..G'i►1ofl l�iJ •� Ge9'nS�T'llcEti�yJ
NrJ kc d 6e cnnw CjCk l`fs ('Allnd'0W :,; el�a cerw�e�r` 5
❑ -I am olvina oermiission for exterior work only. The:scope:of the work shall be
for t rpose therein set forth.
Witness my hand and official seal.
My commission expires: Z— 3 �— Zo I `7
Permit
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