HomeMy WebLinkAbout1600 Prospect Park Way - Affidavits/Owner Authorization - 05/08/2019 (2)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) PP Midpoint, LLC
1600 Prospect Park Way #109
business) Larimer County Probation
owner of record (property
known as (name of
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:
❑ 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 : Interior and Exterior work as required for Probation Tenant Finish.
V'14�j'1 PP >
Midpoint, LLC %2i'/1 //ant7 �
(Property ownerslgnature) ' (Property owner name; pleaseprint)
The foregoing affidavit was acknowledged before me on the OwY` day of
(month, year) by )'�`R I C( nn a
for the rp se therein set forth.
Witness my hand and official seal.
[Colnmisslon expires:. '
90322 ,
No aryubllc
Permit #
office use only
[:OOBERTA J SAUNDERS
NTARY PUBLIC
TATE OF COLORADO
ARID 20194013498
STSOYION EXPIRES APRIL 09, 2023