HomeMy WebLinkAbout215 E Foothills Pkwy - Affidavits/Owner Authorization - 08/22/2017Planning, oerreiopment a Tranoportedon
lei N. Sege Ave
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fine 97D-4W2740 Fax 2.x4-6iM
BUILDING OWNER AUTHORIZATION TO OBTAIN A COMMERCIAL
BUILDING PERMIT
I, (Print) _Iru f. to IMcTM%r I ft&as owner of record (property
)215 E Foothills "" Suite 170 known as (name of
business) r041n%1(S Wl a ll �.:..r lo�>> �-� hereby authorize the
work listed below to be done on said property, I understand that such work will only be
performed contirecbons licensed by the City of Fort Collins.
O I am giving permission for Inbmior worst only. The scope of the work shall be
0 I am giving permission for exterior work only. The scope of the work shall be
limited to.
I am giving permission fbr Interior and exterior work. The scope of the work shall
lrrbW to: Remodel Suite 170 for Encore Shoes Approved Plans
{ o�rrernerr�A�l+s+rJ
The lbregioing afl1daMt was ad ulowiedged before me on the —02- day of
for the pty tfte Ire n set forth ( �4 Y�r) by --1I)(, ar, n mt-EfL l nA
Wltness my hand and offldal seal.
My commbsim "Or": J v ne.71
B1705093
ofirm Permit #
&W0*
MICHELLESANCHEZ
Notary Public - State of Colorado
Notary ID 20174024139
My Commission Expires Jun 7, 2021