HomeMy WebLinkAbout4702 SNOW MESA DR - MISCELLANEOUS - 12/21/2004 (2)Community Planning and Environmental Services
Building and Zoning Department
City of Fort Collins
OWNER AUTHORIZATION TO OBTAIN A COMMERCIAL
BUILDING PERMIT
I, (Print) /_ J, L, - V as owner of record (property
business) ("(3 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 I am giving permission for interior work only. The scope of the work shall be limited
to
a 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 -tilt /k, 44— lix-r — 4 r
(Property owner signature)
The foregoing affidavit was acknowledged before
(month,year) b,,
for the purpose therin set for
Witness my hand and official seal.
My commission expires:
zz 12,007-7
Permit # My Wninw Eames t11MW
(office use only)
281 North College Avenue • P.O. Box 580 • Fort Collins, CO 80522-0580 (970) 221-6760 • FAX (970) 224-6134