HomeMy WebLinkAbout646 S COLLEGE AVE - AFFIDAVITS - 3/19/2004Mar 19 04 10:38a 303-753-6065 P.1
Mar-16-04 04:34P HIGH COUNTRY GIFTS 970 224 5e62 P.02
Community Planning and Environmental Services
building and ZonlnK Department
13.0401545
Lity 01 ran %.uurica
OWNER AUTHORIZATION TO OBTAIN A COMMERCIAL
BUILDINGi PERMIT
i, (Print) 5,�. + as owner of record (property
Address)_,p��. -�, GA..�._. known as (name of µ
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.
o 1 am giving permission for interior work only. The scope of the work shall be limited
to
o I am giving permission for exterior work only. The scope of the work shall be limited
to
X lam giving permission t9t interior and exterior work. The scope of the work shaft be
limited to f' ++ -4102-0,ynh4-2 d _ 1�fto
The, foregoin affldavit was acknowledged before me on the �� day of
(month year) by - t, Apr
for the P%pI. se therm forth.
witness my hand and official seal.
My commission 00,& Commission Expires
P12rrrrlt /' "
(ufik;a W$t (nly)
381 North Cn0ege .Nvenur - W. Roc 580 - Fort Colons, CO 8022.038Q - (970) 221-670 - FAX (970) 224.6134