HomeMy WebLinkAbout609 S COLLEGE AVE - AFFIDAVITS - 5/2/2018Fort Collins
Planning, Development &Transportation
281 N College Ave P O Box 580
Fort Collins CO 80524
Phone 970-416 2740 Fax 224-613
BUILDING OWNER AUTHORIZATION TO OBTAIN A COMMERCIAL
BUILDING PERMIT
I, (Print)
S00b.C4 II2-8Z (CM ,
�-1-G
as owner of record (property
address)
(eoa S eb l (ea e �cve
, FTG CO
$05V4 known as (name of
business)
Jou-t l Co ( ( erne 4 0 R
u-y
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
13 I am giving permission for interior work only The scope of the work shall be
limited to
0 I am giving permission for extenor work only The scope of the work shall be
limited to
D I am giving permission for interior and exterior work The scope of the work shall
limited to dew l th on I,; - in e
141mbeirrly•A l�Dwu'eI C�o-�
Gv.1� Pei (tie teoQ .
(Property owner ame p/ease pnnt)
The foregoing affidavit was acknowledged before me on the �� day of
(month year) by t c�a'tt I�
for the 0
rpose therein set forth
Witness my hand and offidai seal
My Common expires $ 13 �0 a1
ey) ft tol
Permit #
a*
L MCI
inallay"'"M
Nicole Javemick
NOTARY PUBLIC
STATE OF COLORADO
NOTARY ID 20054030527
MY COMMISSION EXPIREVAUGUST 3 2021*,
- TPA
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