HomeMy WebLinkAbout622 S COLLEGE AVE - MISCELLANEOUS - 11/21/2005Community Plannin.gand Environmental Services
Building and Zoning Department
City of FortCoilins
B0506981
OWNER AUTHORIZATION TO OBTAIN A COMMERCIAL BUILDING
PERMIT
I, (Print) -Tkda bit. � . MAy)jA; rna M as owner of record (property
Address) Lg Z Z S . Co l l pe 010P . known as (name of
business) CY)11P4e_ U C, 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
jb I am giving permission for interior and exterior work. The scope of the work shall be limited to
The foregoing affidavit was acknowledged before me on the o2/ sf day of
fV,o l�� r, dooS (month,year) by s■m ?roc JI. 6J-efor(the purpose
therin set forth.
Witness my hand and official seal.
my commission expires: 2.0010
281 North College Avenue • P.O. Box 580 • Fort Collins CO 80522-0580 • (970)221-6760 • FAX (970)224-6134