HomeMy WebLinkAbout4700 MCMURRY AVE - MISCELLANEOUS - 8/14/2002City of Fort Collins
Community Planning and Environmental Services
Building and Zoning Department
80205140
OWNER AUTHORIZATION TO OBTAIN A COMMERCIAL
BUILDING PERMIT
I, (Print)Nd'
f'n�Nlu (property
as owner of record
VYXJ
�MC,#�oT p rty
Address) ACC.. known as (name of
business)
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 erw,,W� Flt.:. c1n
a 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 of the work shall be
limited to
(Property owner signature)
The foregoing affidavit was acknowledged before me on the day of
— 6:U c 7- (month,year) by ,/d- 27� MAr�f
for the purpose therin set forth.
Witness my hand and official seal.
My commission expires: 03/p V
Permit #
Py C. F.�,y
Q, �i
�7 PU D`tG
Notary blic E`
OF CCV
(office use only)
281 North College Avenue • P.O. Box 580 • Fort Collins, CO 80522-0580 • (970) 221-6760 • FAX (970) 224-6134