HomeMy WebLinkAbout2550 Stover St - Affidavits/Owner Authorization - 10/04/2016Fort 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
NG PERMIT
I,
owner of record (property
address) 2550 Stover St. Bldg. H known as (name of
business) Moore Animal Hospital 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: misc interior tenant improvements
❑ 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 signature)
l g L�
(Pm owner name; please P17nt)
The foregoing affidavit was acknowledged before me on the �day of
0C,'JV -20 1 I0 (month, year) by S-
for the purpose therein set forth.
Witness my hand and official seal.
My Commission expires: l Z- 3 — 20
Permit #
Office use only
18111
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