HomeMy WebLinkAbout646 S COLLEGE AVE - MISCELLANEOUS - 10/29/2007Community Planning and Environmental Services
Building and Zoning Department
City of Fort Collins B ®7 ®! 56,
l
OWNER AUTHORIZATION TO OBTAIN A COMMERCIAL
BUILDING PERMIT
I, (Print) _ `� xt- as owner of record (property
Address) ('Ao S, Cg)(� j known as (name of
business) Cg2rlceai TnUe" hereby authorize the work
listed below to be done on, said property. I understand that such work will be
performed only by contractors licensed by the City of Fort Collins.
o I am giving permission for interior work only. The scope of the work shall be limited
❑ I am giving permission for exterior work only. The scope of the work shall be limited
to
o****I am giving permission for interior and exterior work. The scope of the work shall be
limited to Fitic-0 l& 4- 6&2241A aO = O.U;SW 2e" ,t
ZVI,, x O __ ca
(Property owner signature)
The for ,going affidavit was acknowledged befnre me nn tha H;;v of
(month,ye
for the purpose therin set forts .
Witness my hand and official seal.
My commission expires: ""rf
Permit #
(office use only)
281 North College Avenue • P.O. Box 580 • Fort Collins, CO 80522-0580 • (970) 221-6760 • FAX (970) 224-6134