HomeMy WebLinkAbout603 QUAKING ASPEN DR - AFFIDAVITS - 9/1/2016E6rt 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) C 4r is hdPt sen as owner of record (property
address) �2-,U '%s,>V. ^ known as (name of
r- n I
business) ?�ov I! rLce w� l^ wc e n l-? 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.
9 I am giving permission for interior work only. The scope of the work shall be
limited to: S/A� re."'A0 00'1 6LACI ,/Jec.J eo"Oic � &L
❑ 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 of the work shall
limited to :
dr; S 'L4-V)&'N
(Property owner name; please print)
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The foregoing affidavit was acknowledged before me on the / day of
saPtLe.m.�e.f' 401 Ga (month, year)
for the purpose therein set forth.
Witness my hand. and official seal.
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LINDA M KAMMERZELL
NOTARY PUBLIC
STATE OF COLORADO
NOTARY ID 4 20144005513
MY COMMISSION EXPIRES FE8RUARY 04. 2018