HomeMy WebLinkAbout2325 S College Ave - Affidavits/Owner Agent - 10/08/2018Fort 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) Anthony Marin - Agent of the Kroger Company as owner of record (property
address) 2325 S. College Avenue, Fort Collins, CO, 80525 known as (name of
business) King Soopers #18 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:
❑ 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 : Interior = Customer Service modification and installation of a new
ClickList department. Exterior = Striping and signage for ClickList parking stalls.
(Property owner gr ature) (Property owner name; please print)
The foregoing affidavit was acknowledged before me on the -01 day of
Le 00 1 S (month, year) by Lci.- cx A-y-cs�U W,
for the purpose therein set forth.
LAURA ARCHULETA
Witness my hand and official seal. NOTARY PUBLIC
STATE OF COLORADO
NOTARY ID 20184025143
My Commission expires: MY COMMISSION EXPIRES JUNE 15, 2022
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