HomeMy WebLinkAbout425 W Prospect Rd - Affidavits/Owner Authorization - 06/28/2016City of
F6rt Collins
Planning, Development & Transportation
281 N. College Ave
Fort Collins, CO 80524
Phone 970-416•27,10 Fttx 22,1•613-1
BUILDING OWNER AUTHORIZATION TO OBTAIN A COMMERCIAL
BUILDING PERMIT
I, (Print) Daniel Abernelhy£Aulhorized Representative. as owner of record (property
address) 426W ProspectRD known as (name of
business) Hilton Hotel 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.
l31 I am giving permission for interior work only. The scope of the work shall be
limiter! to:
0 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:
Daniel Aheinelhy, Authorized Representative
pertyorw►ers6n vre) (Property 0iVner rfaofe; please print)
-nie foregoing affidavit was acknowledged before me on the _ _ day of
(9C (month, year) by
for the purpose therein set forth.
Witness my hand and official seal.
My Commission expires:
Permit tl
office use only
ORT
Notify Public� 81410 ROCFo Qeorfla
Fortylb cowly
My Commluloe FV1142 Fop to, 2019
Notary 1'111)lk