HomeMy WebLinkAbout2900 S College Ave - Affidavits/Owner Authorization - 01/12/2017City 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, (Print) SR 10-o Pw me Ir as owner of record (property
fv/t to f7s,co 40t25
address) Z 900 $. CoHe*- known as (name of
business) T.R . FAG : o e e r i nt; 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: t'racii�f3 rwo "Its fo f'o.•n an Wf-'C e . Nr0
/7r SaFf eF Ca�DtT B�ft%oar�If.
❑ I am giving permission for exterior work only. The scope of the work shall be
limited
❑ I am giving permission for interior and exterior work. The scope of the work shall
limited to
(Properly owne sign re) (Property owner name,• p/ease pwnv
The foregoing affidavit was acknowledged before me o/n� the 1-2 -7 _ day of
013" (month, year) by .L1a�r ,�
f r the purp& ffierein set forth.
Witness my hand and official seal.
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