HomeMy WebLinkAbout4380 ZIEGLER RD - MISCELLANEOUS - 1/21/2003Lity of Fort Collins
Community Planning and Environmental Services
Building and Zoning Department
B030n397
OWNER AUTHORIZATION TO OBTAIN A COMMERCIAL
BUILDING PERMIT
I, (Print)
as owner of record (property
Address) ,e,I� 7d Ft e(2i1in' /-'QNI3Sknown as (name of
business) .. A ar las , TK.V—, 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
A I am giving permission for interior and exterior work. The scope of the work shall be
limited to R�nl��o.,.e—.L _— ►I_,
b 0l,3 dee-d u„ 4J- "3
7i He M60/44m 1/01-14e, �/si-Erh Ck,6/e /2e,o
��k4� .�
(Property owner signature)
MIegoing
affidavit was acknowledged before me n the S
A'SgAOu ZOO—? (month,year) by day of
for the purpose th4riA set forth.
Witness my hand and official seal.
My commission expires: 1--12-_Q-3
Permit #
r
Not Public
(office use only)
281 North College Avenue • P.O. Box 580 0 Fort Collins, CO 80522-0580 • (970) 221-6760 • FAX (970) 224-6134