HomeMy WebLinkAbout932 W DRAKE RD - AFFIDAVITS - 6/1/2017F, 6rt of
Planning, Development & Transportation
281 N College Ave
Fort Collins, CO 80524
Phone 970-416-2740 Fax 224-6134
BUILDING OWNER AUTHORIZATION T-P OBTAIN A COMMERCIAL
BUILDING PERMIT
I, (Print) as owner of record (property
address) 3 a W�Si �f A eylt� 'known as (name of
business) _Wt3 1' Aw S L L e-- 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 Fprt Collins.
❑ 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,
V qam giving permission for interior and exterior work. The scope of the work shall
limited to
)� P
(Property owner signature)
(Pro_'w�naiu. p�S� LLC-
L
s+-
The foregoing affidavit was acknowledged before me on the 1 day of
(month, year) by L)L.0 i Ck V e \
for the purpose therein set forth
witness my hand and official seal
My Commission expires
Permit #
office use only
BRITTANY NICOLE SCHMIDT
NOTARY PUBLIC
STATE OF COLORADO
NOTARY ID 20154030884._
W COMMISSION RM AU13, 8. IM