HomeMy WebLinkAbout2121 Midpoint Dr - Affidavits/Owner Authorization - 09/30/2019City of
Fort 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) NexGen Riverbend Holdings, LLC as owner of record (property
address) 2121 Midpoint Drive, Ft Collins, CO #101 known as (name of
business) Flannery Homes, LLC 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.
Q I am giving permission for interior work only. The scope of the work shall be
limited to: Tenant improvement build -out work for Suite #101.
❑ 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
(Property owner signature) (Property owner name,- please print)
The for Ding affidavit was acknowledged before me on the Jam' `day of
'F�vn�je� (month, year) by o�yt S �C \,3e
for the purpose therein set forth.
Witness my hand and official seal.
My Commission expires:
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Notary Public
E
UREN L LANNING
Notary Public
State of Colorado
tary ID 11 20154011651
mission Expires,03-23-2023