HomeMy WebLinkAbout838 W Drake Rd - Affidavits/Owner Authorization - 06/19/2017Fort 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) Dcky SI �� as owner of record (property
address) 838 West Drake Road, Fort Collins, CO 80526 known as (name of
business) Starbucks Coffee
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.
W I am giving permission for interior work only. The scope of the work shall be
limited to: Interior renovation of existing Starbucks including furniture, casework,
some plumbing, new equipment, and walls.
❑ I am giving permission for exterior work only. The scope of the work shall be
limited
❑ I am giving permission for interior and exterior work. The scope of the work shall
limited to :
(Prop rryownersign tore)
O�V� r �wA•1 L
(Property owner name; please print)
The foregoing affidavit was acknowledged before me on the � L day of
A -P— '2-01-7 (month, year) by LC W P
for the purpose therein set forth.
Witness my hand and official seal.
My Commission expires:
z01$
Notary Public
Permit #B 1703 W5 ---------
DEBRA AILEEN HUESEMANN
Office use only Notary Public
State of Colorado
Notary ID 20144040491
My Commission Expires Oct 16, 2018