HomeMy WebLinkAbout648 S COLLEGE AVE - AFFIDAVITS - 7/17/2015t of
Planning, Development & Trarw4ortation
281 N. College Ave
Fort Collins, CO 80524
Phone 970-416-2740 Fax 224-6134
BUILDING OWNER AUTHORIZATION TO OBTAIN A COMMERCIAL
BUILDING PERMIT
T-encn)4"
aww of record (property
nown as (name of
business) hereby authorize the
work listed below to be done on said pro . I understand that such work will only be
Performed contractors licensed by the City of Fart Collins.
0 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 am giving permission for interic>illand exterior work. The scope of the work shall
limited to:—. inn
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Zh please print) ILdZ{!l
The foregoing affidavit was acknowledged before me on the day of
J16vi yO 1 S (month, year) by j e' 1 1 LLB �,1 i e-t G� 4hrt v 1
for the purpose therein set forth.
Witness my hand and official seal.
My Commission expires: U 1Z3 It%
Permit 1 1; t
"Ib -
afte use only
Notaty is
Jennifer McVay
(Votary Public
State of Colorado
Notary 10 20OW24472
My Commission Expires June 23 2018