HomeMy WebLinkAbout914 W LAKE ST - AFFIDAVITS - 6/10/2011.,�Foar t Collins
Planning, Development & Transportation
281 N. College Ave
Fort Collins, CO 80524
Phone 970-416-2740 Fax 2246134
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.
0 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 c f the work shall
limited to : tx�'ctto� dtw4lt�e�+-�'aca�l< c.w►��, owJ► t�'r u���a�„,
(Property owner
CJ+AK LtS J G"I << )-2
(Property owner mine; p/ease print)
The foregoing affidavit was acknowledged before me on the 10th . _ - day of
June, 2011 (month, year Charles Gower
for the purpose therein set forth.
Witness my hand and official seal
My Commission:expires $ 12.2o1Z
Kota)ry_ Pub/ic
Permit #
Mae use only -