HomeMy WebLinkAbout4380 ZIEGLER RD - CORRESPONDENCE - 7/8/2013Fa` -t Collins ° 1 N. Co P.O. Box SM
281 N. Ave P.O. Fiox SflO
84
dCO16-Fax 224613
BUILDING OWNER AUTHORIZATION T[O%OBTAIN A COMMERCIAL
BUILDING PERMIT
I, (Print) Pat Ealliew as owner Of record (property
address) 4380 Ziegler Rd., Fort Collins, CO 80525 known as(name of
business) Avago Technologies henry authorize the
work listed below to be done on said property. I urderstand that such work win only be
performed aonbwtom Itaenaed by the City of Fort Colin.
13 I am giving permission for Interior work only. The scope of the work shall be
limited to:
if I am giving permission for exterior work only. The scope of the work shall be
limited tD: Construction of Hydrogen Tank Pad
O I am giving permission for interior and exterior work. The scope of the work shall
limited to:
owner �hrrwh!)
('araer�; Alehhae�U
The foregoing affidavR was adohowkdged before me on the day of
U 1 3 (moreh, year) by Pic.- A L 11 (IT W
therein set forth.
Witness my hand and offitlai seal.
My Commission expires:
1- 31-,2017
Pemdt S
arow& warny
AbOmay..,
PLo6k r
KERI BETH FLJNT
NOTARY PUBLIC
STATE OF COtARADO
W 00MMISSrorh E X RES
.uwuntiv am 2017