HomeMy WebLinkAbout614 QUAKING ASPEN DR - AFFIDAVITS - 1/28/2019City#Of f Planning, Development & Transportation
For ` Cot1in5 �,; {`,� ii 11I1I `631 College Ave
u (Fort Collins, CO 80524
Phone 970-416-2740 Fax 224-6134
BUILDING OWNER AUTHORIZATION -TO OBTAIN A COMMERCIAL
BUILDING PERMIT
I, (Print) &Cx4i- AV nemm') as owner of record (property
address) 614 Qualdng�Aspen Drive, Fort Collins, co 80525 known as (name of
business)
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.
❑ 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 interior and exterior work. The scope of the work shall
limited to .- Detach and reset cabinets, remove slab on grade, excavate, install structural slabs, and
replace finishes
(Praperty owner me: Please print)
The foregoing affidavit was acknowledged before me on the 2? day of
2 0 t l (month, year) by
C'I tN
for the purpose therein set forth.
Witness my hand and official seal.
My commission expires: -JAI 23, 2OZ71
Permit #
office use only
��g
N P
AMANDA HOLSTEIN
Nolary Public— State of Colorado
Notary ID 20184003735
My Commission Ex0res Jan 23. 2022