HomeMy WebLinkAbout3007 Ninebark Dr - Miscellaneous - 01/01/2000Development Services
Building Permits & Inspections Division
City of Fort Collins
953822
HOMEOWNERIS AFFIDAVIT
STATE OF COLORADO )
COUNTY OF LARI�M�ER )
I,U 5t�Lf !ter upon my oath,
depose and state as follows:
r !'
1. That I own and will reside at 3(f`'o
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.
3. That r have not constructed any other dwelling as my
personal residence within the last three (3) years.
of
by
r
Subscribed and sworn to before me this day
Witness my hand and official seal.
My commission expires:
Notary- Public
281 N. College Avenue • P.O. Box 580 • Fort Collins, CO 80522-0580 • (303) 221-6760