HomeMy WebLinkAbout1000 Centre Ave - Affidavits/Owner Authorization - 03/17/2020City of
Flirt 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) John Michael Beezley as owner of record (property
1000 Centre Avenue, Fort Collins, Colorado known as (name of
business) 1000 Centre Real Estate Investment LLC 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.
M 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:
Rr ertyownersignature)
John Michael Beezley
(Property owner name; please print)
T,h�ey foregoing affidavit was acknowledged before me on th1ey � day of , �l
(month, year) by �TG�tA '�, r L- 5y O K
for the purpose therein set forth.
Witness my hand and official seal.
Heather L Buck
My Commission expire--: NOTARY PUBLIC
Wake County
North Carolina
tdy commission Expires July 30, 20 LA —
PA tvey Pubic
Permit #
Office use only