HomeMy WebLinkAbout211 Canyon Ave - Affidavits/Owner Authorization - 03/30/2018City Of Planning, Development & Transportation
Fort Collins 281 N. College Ave
1802323 Fort Collins, 854
Phone 970-41616-2740Fax 224-6134
BUILDING OWNER AUTHORIZATION TO OBTAIN A COMMERCIAL
BUILDING PERMIT
I, (Print) Oil Coa,ruApn, LLB- as owner of record (property
address) ail Ca nHof) Xe . known as (name of
business) atl CCL'nyon , L LC— 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.
IN I am giving permission for interior work only. The scope of the work shall be
limited to: Trnc_ ' 1r��2ri�r STacs�
❑ 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 :
(Property owner signature)
renf T liee lam, �ve sc o%ent
lueAm T rpr es.ln j agtr
(Property owner name, please print) �JJ
The foregoing affidavit was acknowledged before me on the %3 day of
t� rc h To1-� (month, year) by�bYk(i t` %CAI-e�
for the purpose therein set forth.
Witness my hand and official seal.
My Commission expires:
�C7;w
Permit #
Office use only
Notary Public
HEATHER GREENACAE
Notary Public
State of Colorado
Notary ID 20164000115
My Commission Expires Jan 4, 2020