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HomeMy WebLinkAbout4615 S TIMBERLINE RD - MISCELLANEOUS - 8/21/200309-24-2003 12:03PM FROM AMARANTH INC. TO 19702246134 P.03 Community Planning and Environmental Services Building and Zoning Department Collins OWNER AUTHORIZATION TO OBTAIN A COMMERCIAL BUILDING PERMIT I, (Print) AL — roQT Gait. i wl S T as owner of record (properly #�0�- Address) 15 Sourm known asp (name of business) } A•IZDY 5 PNDTa hereby au6rize the work' listed below to be done on said property. I understand that such wort¢ will be performed only by contractors licensed by the City of Fort ❑ I am giving permission for interior work only. The scope of the wdrk shall be limited to i ❑ I am giving permission for exterior work only. The scope of the w©rk shall be limited to AL I am giving permission for interior and exterior work. The scope 0 the work shall be limited to gy-TEstoe - Si6wIAGE: L�aTP.Einl= - rrr444,r lr-Jis#4 owner signature) regoing am t w acknowledged before me n t �✓'V day of (month,year) by for the OOrpose t erin set forth. Witness my hand and official seal. My commission expires: Permit (office use only) DLANE AA. BADEI NOTARY PUBLIC North College Avenue • P.m. Box 580 • Fort Collins, CO TOTAL P.03