HomeMy WebLinkAbout2121 E HARMONY RD - APPLICATIONS - 11/8/1999 (11)Sep-23-99 01:01P Building and Zoning Dept_ 970 224-6134
P.O1'
Community Planning and Environmental Services
Building and Zoning Department
City of Port Collins B 9 9 47 + 6 5
CONTRACTOR AUTHORIZATION
FOR OBTAINING A PERMIT
I, (Print) D t' Kt1 R. 1y c,- 1. S �-N as owner or principal
officer of (Company) Alq. Atiio -rE s- oa ,
City of Fort Collins license number A - e- AP hereby
authorize { O L,�.O ¢ j 1141 Iry uF n 1H c vim, (Property Owner) to name
me as contractor of record for purposes of obtaining a building permit for work to be
performed at _ z) z I Ea %-r N a�12k.1or,.y Roams
I acknowledge full responsibility, as outlined in Section 15-159 of the Code of the City of
Fort Collins, for all work performed on the permit obtained.
Contractor Signature
1111
The foregoing instrument was acknowledged before me this 0 ' ��tt� 11dq" r"r,
Nove m �?.e r _ (year) by D�Ak ........ ` °
< s
for the purpose therein set forth. Witness my hand and official sea1H My'cot mission
expires: - �T��� ^(�%IRES 6!2.ti2:1-i
Notary Public cn 7),
�j
111 cok
11'%V
Property Owner
The foregoing instrument was acknowledged before me this /�� `6
of N-ol t° rn bex- 10041 , (year) by -&(Z-a .1
for the purpose therein set forth. Witness my hand and official seal.
expires: L - 2+-0 5
Notary Public
day
I�lpr.ommiSSlDn cc!l���
:r FIRE$ 6124;29U':
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✓�°�fCF C0
281 North College Avenue • CO. Box 3W • Fort Collins, CO 8052241580 • (970) 221-6760 • FAX
Sep-23-99 01:01P Building and Zoning Dept. 970 224-6134 P.01
Community Planning and Environmental Services
Building and Zoning Department � � /
B9 9 0 `
City of Fort Collins
CONTRACTOR AUTHORIZATION
FOR OBTAINING A PERMIT
I, (Print) ll `c NM �. I V BLS £ as owner or principal
officer of (Company)/tf�ozrEww,.-vim
City of Fort Collins license number [7' - 2. AP hereby
authorize20voQe J/oLLcV llar„ F4 cry, (FropertyOwner) to name
me as contractor of record for purposes of obtaining a building permit for work to be
performed at _ -'a) Z J q 7- 1 a!p 2 F.,own. R oae�
I acknowledge full responsibility, as outlined in Section 15-158 of the Code of the City of
Fort Collins, for all work performed on the permit obtained.
Contractor Signature
a "J%111n111117
1'
The foregoing instrument was acknowledged before me this i
NOvernbeX 1�01q o
t� o®
(Yeaz') by V �Qf� � �.�5 jSF`"`1
for the purpose therein set forth. Witness my hand and official seal. e:My commission
expires: - - p `s 5'°'
Notary Public
'i
P` V:CTCT'V /J� I.P� r0�s � •iiia`ttt°o°�`
Property Owner Signature
The foregoing instrument was acknowledged before me this
of -U embex (year)by
for the purpose therein set forth. Witness my hand and official seal,.` ly eottissign
expires:
eFXPIRES 6124/26!1?.
Notary Public
�°�� Jg�v,.• d o O:
Oet ittO"% Pa``
281 North College Avenue • P.O. Box 5W • Fort Collins, CO 80522-0580 • (970) 221-6760 • FAX (970) 224-6134