HomeMy WebLinkAbout114 N COLLEGE AVE - AFFIDAVITS - 2/1/2011City of
Flirt Coitins
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Planning, Development & Transportation
281 N. College Ave
Fort Collins, CO 80524
Phone 970-416-2740 Fax 224-6134
BUILDING OWNER AUTHORIZATION TO OBTAIN A COMMERCIAL
BUILDING PERMIT
I, (Print)ft��K✓) pji Lk�• , L'C' as owner of record (property
address) 1114 t4 col k�r4o A-,w— known as (name of
1.11
business)
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.
j( I am giving permission for interior work only. The scope of the work shall be
limited to:
0 I am giving permission for exterior work only. The scope of the work shall be
limited to:
0 I am giving permission for interior and exterior work. The scope of the work shall
limited to :
(Prope caner signature)
(Property owner name; please pant)
The foregoing affidavit was acknowledged before me on the 'St
Fir` Z011 (mont
for the purpose tqrein set forth.
Witness my hand and official seal.
My Commission expires: ,3IZ1 I 7-01
Permit #
Office use only
day of
2