HomeMy WebLinkAbout301 E Stuart St - Affidavits/Owner Agent - 10/12/2017City Of Planning, Development & Transportation
Fort Collins 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,
owner of record (property
address)
�SO/ e�
known as (name of
business)
r,:, -4
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.
I am giving permission for interior work only. The scope of the work shall be
limited to: �Q.M�eL GF kJO 09�vs i �ieNs � �2�-� S•
❑ 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 :
owner
Jc�h�T�ati � �ss�
(Property owner name, please pnnt)
The foregoing affidavit was acknowledged before me on the ,, r � , - day o-f(^��p
t& � 2a ( 1 (month, year) by . l�f W� t V 1M C iFaic,
for the purpose therein set forth.
Witness my hand and official seal.
My Commission expires: 313I1 g00-1'
Permit #
B17067B2
Office use only
AMBER FRAIDE
NOTARY PUBLIC
STATE OF COLORADO
NOTARY ID 20174014104
MY COMMISSION EXPIRES 3-31-2021