HomeMy WebLinkAbout428 REMINGTON ST - MISCELLANEOUS - 3/17/2004Community Planning and Environmental Services
Building and Zoning Department
4 0
City of Fort Collins
OWNER AUTHORIZATION TO OBTAIN A COMMERCIAL
BUILDING PERMIT
I, (Print) - r��� ('fl 43 i It't-)(') as owner of record (property
Address) QF` known as (name. of
business) hereby authorize the work
listed below to be done on said property. I understand that such work will be
rmed onlv 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 C rn P i r' C _. C), I-ICA n t-) n STr 0 CyN-
r
❑ 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
(Property owner signature)
Th e oin affida 't was cknowledged before me n the ! day of
(month,year) by
or4fieris't erin set forth.
y l a and official seal.
1�4V expires
-
,v. Notary Public
Permit #
(office use only)
281 North College Avenue • P.O. Box 580 • Fort Collins, CO 80522-0580 • (970) 221-6760 • FAX (970) 224-6134