HomeMy WebLinkAbout4315 S MASON ST - AFFIDAVITS - 6/27/2008Community Planning and Environmental Services
Building and Zoning Department FH�'
JUL 0 7 2008
City of Fort Collins
OWNER AUTHORIZATION TO OBTAIN A COMMERCIAL
BUILDING PERMIT
I, (Print) 8,e,,¢0 as owner of record (property
Address) y37�` to /'Qfi ' �j known as (name of
business) C�Z,t-F 4!iMV421' 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.
❑ 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
Fay I am giving permission for interior and exterior work. The scope of the work shall be
limited to 14:c /J Azw
(Property
The foregoing affidavi was acknowledged
�UAI-E . � C)a8 (month,y
for the purpose therin set forth.
Witness my hand and official seal.
My commission expires:1�0
Permit
(office use only)
re me on the _ da of
by Agnor T i� Srr
281 North College Avenue • F.O. Box 580 • Fort Collins, CO 80522-0580 • (970) 221-6760 • FAX (970) 224-6134