HomeMy WebLinkAbout243 N College Ave - Affidavits/Owner Authorization - 10/04/2019City Of _ _ Planning, Development & Transportation
F6r't Collin v ?81;or N. College Ave
brt `.r i Collins, CO 80524
Phone 970-416-2740 Fax 224-6134
BI 91,27
BUILDING OWNER AUTHORIZATION TO OBTAIN A COMMERCIAL
BUILDING PERMIT
I, (Print) Jeff Wilkins as owner of record (property
address) 743 PJorth Cn1IPQF% A%1Pru1P known as (name of
business) Ent Credit Unien 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
IN I am giving permission for interior and exterior work. The scope of the work shall
limited to : Interior renovation exterior building modifications replace
asphalt parking lot.
nersignature) (Property owner name; please print)
The foregoing affidavit was acknowledged before me on the Iday of
OC`tQjD�r o�Q( (month, year) by :YP�t/�AJ 1 �:KihS
for the purpose therein set forth.
Witness my hand and official seal.
My Comn
Permit #
k-� ILA
Notary Pub&