HomeMy WebLinkAbout1925 Unity Ct - Affidavits/Homeowner - 04/23/20071_.C1,1711] I Li ! _ �'� )-' .I' i c_1 l.1 Ll1"1 L1.1 •'L F=.T1 A'Il-C 17 ll I _I1 tcL l 'i'i'
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a+ Pnh Collin_, olo, adr;. Emd uL; tc,
! anti v,)L dl::'lllyfUlJi' beilolli Wr the pUl pDss of obzawiin�j ❑ and
�� wr,Q conswuMpAny/nur "pow, The riDn e t0 A constu-Led a an thl aUDV�, piD,-D iFtV/ arid
kvM be rri)//E)uj prlmrar)/ residence I/wE h8v�- nat Dersonally constructed any other nevd hDMe IF) `Dri
Coll'm<, clt,,/ limits v/Jtnirl the past 24-month period.
B. 1 arr/we area Ling an my/Dur behalf for the purple of obtaining a building permit and
personalh/ CDnshusting an niter ation or addition t0 my/our flame. The home tC, b� aitered Is on the
above prDpert\,/ and K my!Dur personal residence.
❑ C. F am/VJe are a:bng on my/our behalf for thD purpDse DT obtaining a building permit and perj,:) Jgy
constructiinq a non-structural alteration to my/our attack sin9ie ;anlii)- Gelling unit, The
hDnl= tG be alteraj ! nl), perSD al r_idenna. 1 am aware that ! VE cannot do ail!/ Stru,L-uj-al,
WaRtrizal, plumbing, or nnschanical wcr h and mCSt hir— vvi`1r, are
currently licensed with the City of �.=or Collins.
1 am/We rare per sDnailj/ peif3r(-FJng all DT the Work, Or ViAl be supervising unpaid V/,DlL Meer s.
l- WDrl: is dire= 1 rei3tej t0 nay - i`i aboVc rof renged rloi[ ?, VJnlai is described inor
fulls/ on Permit.AppiicabDr, r btaiMid trDinn Building and Zoning Oincej.
1/lNc understand that any par5On5 or a� 2r gGii ®u Ced - C_ 7OrT Sti U�LJral 1/JOo 181711nyr plu'no , g;
HVAC, electrical Work, roofing or cast -in -place structural concrete work, MUST 5_ licensed zontra�=tors
in accordance Wit` the repUWDn.of the City.or- Fort Collins.
1/we understand that eailUrE to cornpl with any of the abOVe CDrdl iDnS a)' res U It in revocation DT
any permits associated with the above Permit application number, for enure of any fees that have bean
collected,. a Stop Wort, Order and a court summons:
Sign in the grasser of a Nola 7 P b J4
Owner
lAged before me on this day of
F'�%� ar)by C%�t%iL�L��'i2�1
. Ry
Vvitness my hand an I; al IV m
r: 0
My comrnissinn =xpirw ;,_ O 6e
i _ !�C
NN.
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o�t%Sp'/OlRA'DO'\\i\O`\\��� V Notary FUbli
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P' 'C) ^ Fce f Cclhns, CO FU�`'.2-0580 (9 0) 7 6w,60 t:':;i (9, C) ?_.
The f oregoinq r1, i`idavit was a
Owner