HomeMy WebLinkAbout205 W Oak St - Affidavits/Owner Authorization - 04/05/2018F5 1
Fort 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) McpV— as owner of record (property
address) Wo&t-- Ck4e— 5� V:�j. Ii- Co known as (name of
business) AAA a,.A G.,-V, 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
19 I am giving permission for interior work only The scope of the work shall be
limited to f3a57emr -Q' a n /=/oor 0 f-Fce5
❑ 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
rope* owner signature) (Property owner name please pant)
The foregoing affidavit was acknowledged before me on the day of
AT,N 1 , 2.7 kS (month year) by ---bS
for the purpose therein set forth
Witness my hand and official seal
My Commission expires
(� I 1 o 12o`2-t
Permit # 'bo L� q3 1
Office use only
ry Public
JAKE CHILDRESS
NOTARY PUBLIC
STATE OF COLORADO
NOTARY ID 20174042154
MY COMMISSION EXPIRES OCT 10 2021