HomeMy WebLinkAbout622 S COLLEGE AVE - MISCELLANEOUS - 2/5/2008Community Planning and Environmental Services
Building and Zoning Department
City of Fort Collins
OWNER AUTHORIZATION TO OBTAIN A COMMERCIAL
BUILDING PERMIT
I, (Printl ' as owner of record (property
Address) known as (name of
business) \S2 ZZ e-'-p cz\�gQxQ PNR . LLC., hereby authorize the work
listed below to be done on said �pJroperty. I understand that such work will be
performed only by contractors licensed by the City of Fort Collins.
❑ 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
VI am giving permission for interior and exterior work. The cope of the work shall be
limited to I ENIA1i � {y(Y2DLIC-4 &q 2 %1 Ge`4STA Q/i64N I LA r/ c �
Q(peqo. er signatu e) U
0g kN ��or n aff�dav"t was acknowledged before me on the �J r/ day of
0
• %• Zt0 (month,year) by
0� for":t_D purpose therin set f rth.
.G
� .• � iEr�, y hand and official seal.
�q,���r�1P0rj41tM1leM`ccommission expires: /20l I
Commissia�`
Notary Public
Permit #
(office use only)
231 North College Avenue , PO. Box 580 ^ Fort Collins, CO 80522-0580 • (970) 221-6760 e FAX (970) 224-6134