HomeMy WebLinkAbout1415 Blue Spruce Dr - Affidavits/Owner Authorization - 03/09/2018Fort 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) 11415 1 h e S jD rU U I L L.C, as owner of record (property
address) 14I5 Ile Vruu known as (name of
business) 11415 Mlle Qpru U Lt.C_ 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: Qrnwt'na G memarilnt 1 doors. Wa.l s Atous 6 ktlrs
❑ 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 foregoing affidavit was acknowledged before me on the _ 9 day of
mil 2,Oyz (month, year) by EYPr-\4 HTr he�.�f,
for the purpose therein set forth.
Witness my hand and official seal.
Sy Commission expires:
LQPermit #
Office use only
Notary Public
ROBIN K BUSTEED
NOTARY PUBLIC
STATE OF COLORADO
NOTARY ID 20054002578
MY COMMISSION EXPIRES JAN. 20, 2021