HomeMy WebLinkAbout328 REMINGTON ST - MISCELLANEOUS - 8/16/2002City of Fort Collins
Community Planning and Environmental Services
Building and Zoning Department
80c;)-0 /-7�9y
OWNER AUTHORIZATION TO OBTAIN A COMMERCIAL
BUILDING PERMIT
I, (Print) :�&t S� as owner of record (property
Address) 32-$ (�ew.��,c,+t-<J s4- +known as (name of
business) \t'LU POJC Crr w-i . C4tJ,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
to
❑ I am giving permission for exterior work only. The scope of the work shall be limited
to
I am giving permission for interior and exterior work. The scope
limited toatt Lvov tL c+s SYJi- -,, -1eA i.)j
( 5G-t4^c -�-j t?- - k G-
the work shall be
�- 4i( Irks_ . I Cf1c� G2
EIiVt �t Erlr� I ki C-1vAP—� s trl v' -9z dr rF �C t�C_ S s fiv rS V C
roperty o ne�gnature)
Th foregoing affidavit was acknowledged before me n the day of
(month,year) by `
for th urpose therin set forth.
Witness my hand and official seal.
My commission expires:
MyCommhWon E)#res November 10, 2002
Permit #
(office use only)
281 North College Avenue • P.O. Box 580 • Fort Collins, CO 80522-0580 • (970) 221-6760 • FAX (970) 224-6134