HomeMy WebLinkAbout1003 W Mountain Ave - Affidavits/Homeowner - 09/26/1984HOMEOWNER'S AFFIDAVIT
STATE OF COLORADO )
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COUNTY OF LARIMER )
I, A_e.ti1h upon my oath, depose and
state as follows:
1. That I own and reside at /oc? W- iLlowMfAih AV,
and all work to be performed in conjunction with the attached application for
building permit is to be performed at: said address.
2. That said work is to be performed under my complete supervision and
control and that no unlicensed contractors will be paid any compensation in
connection with construction.
Subscribed and sworn to before me this y of
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4-�by
Witness my hand and official seal.
My commission expires:
NOTAI PUBLIC