HomeMy WebLinkAbout4702 SNOW MESA DR - MISCELLANEOUS - 12/21/2004Community Plazinirig an.d Enviroruii.ental Services
Building and Zordnb Department
City of Fort Collins
OWNERAUTHORIZATZON TO OBTAIN A COMMERCIAL
BUILDING PERMIT
I, (Print) / , �16fi� l� as owner of record (property
Address) �ol���known as -(name. of
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.
❑ I 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
❑ I am giving permission for interior and exterior work. The scope of the work shall be
limited to_c,.� —< �- c� L —rj=
roperty owner signature)
The foregoing affidavit was acknowledged before me on the _ ` of
,Qrce ram. Zee' (month,year) by
for the purpose therm set forth.
ti.�TA
Witness my hand and official seal. :•
My commission expires: Il2ZL7AQ
Not
Permit #
(office use only)
281 North College Avenue • P.O. Box 580 • Fort Collins, CO 80522-05BD • (970) 2�1-676D • F ��X {97D) ??4-613�