HomeMy WebLinkAbout4700 BOARDWALK DR - MISCELLANEOUS - 1/27/2004Jan 27 04 05:39p
p.2
Community Planning and Environmental Services
' J3vading and Zoning Depennient
City of Fort Collins
i OWNEKAUTNORIZATION TO OBTAIN A COMMERCIAL
BUILDING PERMIT
f
i I, (print) �as owner of record (property
Address) 4700 Boardwalk Dr Ft. Collins, CO
known as (name of
i business) Sam's Club Expansion #6633 hereby authorize the work
:'. listed below to be done on Bald property. I understand that such work will be
i .periormed only by contractors licensed by the City of Fort Collins,
o . I am 94ing permission for interior work only, The scope of the work shalt be limited
to .
o - I am giving permission for exterior work- only. The scope of the work shall be limited
X I am giving permission for interior and exterior work. The scope of the work shall be
limited to an addition of 31,512 s.f. to an mdsting_Sam's_Club
and remodel of interior.
I (Pr rty owner ature)
The foregoing affidavit was acknowledged before me on the 2 day of
- (rnonth,year) by S
fnr the. purpose th&ln set forth:
1 Witness my hand and ofTidal seal.
MATTTHA T. MAFMNEZ
My CommissioN EXPIRES
+ DecwrAW 2, 2007
Nobiry Public
Permit �' '
(affice use only)
281 North Coi),ege.Avenue • PO. Box 590 • Fort Collins, CO 90522 0580 • (970) 221-6760 • FAX WO) 224-6134