HomeMy WebLinkAbout413 S HOWES ST - AFFIDAVITS - 4/16/2014City of
Collins
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) R oyfyt y G . CLO UG H as owner of record (property
address) ql3 Y HW CS 61T-, known as (name of
business) HVS 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.
Ll I am giving permission for interior work only. The scope of the work shall be
limited to: '3 err { (,yel l s
❑ I am giving permission for exterior work only. The scope of the work shall be
limited
❑ I am giving permission for interior and exterior work. The scope of the work shall
limited to :
0', 4--�
erry ow r signature)
lip
&DONEy C7. CLOL/6+
(Property owner name; please punt)
The foregoing affidavit w s acknowledged before me on t e day of
(month, year) by
for the rpose therein set forth.
Witness my hand and offici/al s I.
My Commission expires: y/ r b'
PBlig%linn
unU
Office use only
KATIE MARIE MEYER
NOTARY PUBLIC, BTATE OF COLORAOO
My Comm. Expires 06/10/2016