HomeMy WebLinkAbout646 S COLLEGE AVE - AFFIDAVITS - 5/25/2017.cit-yof Planningl.'Develoorneht,A TransportationFort'Colfins 281.N-. College Ave
Fort C6!'Iir% C',0,80524-
Phone 970-416-2740 Fax12476134
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BUILDING OWNER AUTHCi"TION,TO,OBTAIN,ACOMMERCIAL
BUILDING PERMIT
I, (Print) Carlson's Investment .& Mqmnt,_ Ltdass owner of,reddrd (property
address)n� Colielge Ave, Fort. Collins CO 80524 known -as (name of
business) carison's 'Investment and Management herebyauth6rize the
work.listed belowtob,e done on I said property. I understand that such work Will only be
performed contractors licensed by the'Pity of Fort,6111ins.
0 1 arri giving permission for interior -work only. The scope of the work shall be,
limited to: Tenant finish -out of Insomnia Cookies.
0 1 am giving.,permi,ssion for exter I or wbirk,brily. The scope of I ' the work 'shall be
limited to:
❑ 1 am giving pqrmissi
ion for Interior and exterior work. The:scope of the work shall
limited to.:
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x /<
(Property owner signatur6) (Property ,owner name; p165e print
The foregoing affidavit Was acknowledged, before me on the day of
,q-1 ct-, t, "2�,u i i
(month, year) by \-')c�A� ('C,%C- C,
for the purpose ,,therein. set"forth.
Witness my hand andofficial seal.
My Commission expires: S - a 5- D Q ( �
Permit # B 7 0 37
0/r/ce use, only
JAMIE E CARLSON
NOTARY PUBLIC
STATE OF COLORADO
NOTARY ID -201114052978
,W COMMISSION EXPIRES AUGUST 25,2019
'Public