HomeMy WebLinkAbout428 REMINGTON ST - MISCELLANEOUS - 11/30/2004Community Planning and Environmental Services
Building and Zoning Department
City of Fort Collins
OWNER AUTHORIZATION TO OBTAIN A COMMERCIAL
BUILDING PERMIT
I, (Print) Ci- n—j r i . C-o-s -r N--� as owner of record (property
Address) 432) �r r,Ck—f=n C► - known as (name of
business) S�Lon 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 % C. -L r
r
Gf V,e-C' TAP rf . iC /_ „1 _�i iil7Ps� ,a QJ - �1
❑ I am giving permission for exterior work only. The scope of the work shall be limited
to
o I am giving permission for interior and exterior work. The scope of the work shall be
limited to
Property owner signature)
foregoing affidavit was ac nowledged before me on the a of
(month,year) by Gam: p�
for the purpose therin set forth.
Witness my hand and
My commission expires-
4 ZZI
Notary
130
(office use only Expires 4 23 07
281 North College Avenue • P.O. Box 580 • Fort Collins, CO 80522-0580 • (970) 221-6760 • FAX (970) 224-6134