HomeMy WebLinkAbout428 Linden St - Affidavits/Owner Authorization - 11/10/2016City of
F„ rt C011ihS
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) Leah Dunn (property manager/authorized representative) as owner of record (property
address) 428 Linden Street known as (name of
business) The River Room Lounge
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.
A
I am giving permission for interior work only.
limited to: construction activities per plans.
The scope of the work shall be
0 I am giving permission for exterior work only. The scope of the work shall be
limited
0 I am giving permission for interior and,exterior work. The scope of the work shall
limited to
9
(Property owner signature)
L e,alq DNnn
(Property owner name; please print)
The foregoing affidavit was acknowledged before me on the day of
IUr;J • c%JI 14 (month, year) by L,PcYh 1'�)L-k- nA
for the purpose therein set forth.
Witness my hand and official seal.
My Commission expires:
B1607534
Notary Public
BRITTANY NICOLE SCMM1DT
NOTARY PUBLIC'
STATE OF COLORADO
NOTARY ID 2015403091
MY COMMISSION EXPIRES AUG. 8r 2019