HomeMy WebLinkAbout4700 MCMURRY AVE - MISCELLANEOUS - 8/19/2003City of Fort Collins
Community Planning and Environmental Services
Building and Zoning Department
V) '' '` 5 5 87
OWNER AUTHORIZATION TO OBTAIN A COMMERCIAL
BUILDING PERMIT
I, (Print) � � �
as owner of record (property
Address) 47o0 McJI{,,0441 1pb 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 M wcLtls c"A.A Ct.�ls�es
4-4 Ac c0p41L o..., & 0eck-r, c-J wo.► k p. ,
V�►��1,tts �.�,e !►.rck� i. �s
❑ 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
The foregoing idavit was acknowledged before me the day of
�3 (month,year) by
fort purpose therin set forth.
Witness my hand and official seal.
INN commission expires: /_
Permit #
i
Notary Public
i
(office use only)
281 North College Avenue • P.O. Box 580 9 Fort Collins, CO 80522-0580 • (970) 221-6760 • FAX (970) 224-6134