HomeMy WebLinkAbout914 W LAKE ST - AFFIDAVITS - 5/17/2011City of Planning, Development R Transportation
Fort Collins,_-, Q 281 N. College Ave
Mort Collins, CO 80524
Phone 970-416-2740 Fax 224-6134
BUILDING OWNER AUTHORIZATION TO OBTAIN A COMMERCIAL
BUILDING PERMIT
I, (Print) Charles Gower as owner of record (property
address) 914 West Lake Street known as (name of
business) Rams Crossing at Campus hereby authorize the
work listed below to be done on said property. I understand that such work will only be
performed 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 I am giving permission for Interior and exterior work. The scope of the work shall
limited to: hw-vAe-
ewmL" J Cate
(Property owner name; please print)
The foregoing affidavit was acknowledged before me on the 17th day of
May, 2011 (month, year) by Charles Gower
for the purpose therein set forth.
Witness my hand and official seal.
My Commission expires: 03/11/2014
Permit #
Olirie use only
Notary,