HomeMy WebLinkAbout4207 Starflower Dr - Affidavits/Homeowner - 04/19/2007T'i<riif[! 1-tI1'.i"0I '11'''11'L,d ��i"v'IC'r_S
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o-7 �/o��,- �, ;�Drt CDilin�, CoiD,'ado, iherb�� deciar� arld at _st to
ll-lle�ls�: rin�L)
til TilI01/fl!"Ig: I;ai`_ ZI _- J;"
J t- J anhi VJ� a arCI, E; DI"i Ill,//our-IE'i'lali� 101" ti'f purpose Ol` l7bT,'rJlnin'J 1)Uiijlnc3 .DIIC
pei.SDnall�j -Don-D"uD Inq mI ',/Du!" I nm) -. '( it T' D DE a nsTrLi—Lid !_ Oil the.' ; `b,
Ue nlv/ouf primary r'sldenc %V✓c have n0, Ders-Drially CDrisEruC e� anv r-
h -E�r n='V,r hOR"i_ In -Ort
CDi)Ins city limit. within the pas- 24-month period.
E. i am/vve are acting on my/our b�halr` for the purpose DI obtaining a bLAding permit an,--J
Dersonalk, COnstrumno an alteration or addlLbDn LO my/Dui" hone. T he Ihorrie tc, b�- HltE ED i= On the
atOVe.pr Dpamr ,and !SMr /lDur perSDrlal r2SldenCe.
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❑ r. T an"i/N/c are a,-tl(lG on rn`i idle ;�/DUr beror the purpDSE OT DDLaInInC7 c bAding, permit and +,D?rsoneilVr
CD1sL --,;n11 a nor!-suLiaurai aiieratlDn TU tiny/our aftaChed Sin=iE fa„ If1' dVliel i'11G Lt-,S[�. 1')1=
home to iD altered L nl}' perSDnal reCldenDa. T BTi aVJare that 1/IAIE - ]hDL dO anI Stru' Lul"aI,
elec�ri-al, piumbing, Dr m�'-hanical 6✓ori: and msst hire contra,--to[r !subcontra.-tors vvh�, are
currentl�r licensed v,/ith the CiT)! DT For CDllins.
1 an IWe are Pe, per Drming a Di the iNDrk, nr INIII by CDrLInL D�!si)� SUparV/ISInO unpaid VDlunteerS
h�- wDrl.. i5 djrezdv reiaL?u` to tn�- 'onstrurtbri of th� abD./D reTei an. _O' h:)me, d-2SCrlJed JMDJ-E
fully Dn nerrnit ADDIicatiol-� t 6� C(a 105 aln�d MOM wilding and %oning Umce).
1/We understand thatany persons of agents COii 3,:L-e0 M perDrm struzzurEil VJD:id-73MIFIgl plum-bingi
H%'AC, Eie rlCa) WDYk, rDDfMrj or cast -in -puce Struc-Cural Concrete WDrL-7 MI-IS-1 5E NLGensezj 'DOntrB ' Drs
in accordance witi-I the reguiation ofthe City of Fort CDllins,
1/we understand that raiiure to compfy vvith any "Of the above conditions may result in revocation or
ant/ penlllG aSsOClat2D With th2 above Permit AppilCatjcm numbar, TO!TeIPJr �- Di any le th2' have be-2n
coliec-ed, a Stop Worlc Order and a court summons,
Sign in the presence of a JVDT3 ] • Public
Owner
Owner
The foregoing AfIdavit was acknovdedged before me an this 9 day of
{,'/,.d��iuu+u,}pnth, year)by boo--)1
\y5�3\�� 3Ld LS ,
V, fitness my hand
rn
vn.: ca Z•'.O
My commission eViEBQ = m
Notary Public
" T(-1 TI �I:' :iirl "TJi j' �Ci]]ll1S, 'CI �(i7?.:-rIJ�J (`I:70) �. Cii'G�I (91'(1
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