HomeMy WebLinkAbout425 W MULBERRY ST - AFFIDAVITS - 6/28/2011CoMM=
r Planning and En-virorLmental Services
. . . . . . ....
BuRding and Zoning Departntext
im Of Part 011111F. U t%
0 U
OWN
0 AL LDING ER AUTHOP=kTI N TO OSTAZN A COMMERCL BUI
(Print) as owner of record (property
MdressA"—I known as (name of
L&
business)
eby authorize the work
L
1191:ed below to be done on said property. I understand that such wort Will be
peirbrmed'oply by CDnb-ac.t)ors licensed by the city of Fort Collins.
m I am giving permission for interior work only. The scope of the work shall be Hmfted
to
o I am giving permission for exterior work, only. The scope of the work shall be linifted to
I am giving permission for Interior and exterior work. The scope of the shall be limited to
I I A 'n
e� c:priei si gn6
atze)
The foregoing affidavit was admowledged before me on the. day of
j,011 _(monthyqar) by 110-12(4 gnold.d for the purpose
tierin set forth.
L
Witness my hand and officlal seal.
My (mmmission expires: 8I 21, 1 lo Iq
dp
Ar71V4,f t7 hA
281.Norffi College Avenue • P.O. Box 580 Fait Collins CO 80522-0580 (970)221-6760. • FWR