HomeMy WebLinkAbout4702 SNOW MESA DR - AFFIDAVITS - 12/21/2004Community Pla7.-ining an.d En-virorunental SerN7i.ces
Buildin- andZoninL Department
F
City of Fort Collins
OWNER AUTHORIZATION TO OBTAIN A COMMERCIAL
BUILDING PERMIT
I, (Print) Z ,'1-, &sh Z as owner of record (property
Address) 1101 sww wy5k sV� V'V known as -(name. of
business) MMMOC Uf NIPINU� 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
❑ 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 -/l— a>r� l� ,c �,,� :�_ /"l 2.,; f- 'I I«r. I'Lei
(Property owner signature)
The foregoing affidavit was acknowledged before me on
, .P—C .hc.&- �? DO �L (month,year) by
for the purpose therin set forth.
Witness my hand and of icial seal.
My commission expires: I �27V
pe"Mlt
(office use only)
of
�pTAq�
Commission Expires 01/22/2007
281 lvorth College Avenue • P.O. Sox 580 • Fort Collins, CO o0522-0580 - (970) 221-6760 • FAX (970) 224-6134