HomeMy WebLinkAbout2208 W Magnolia Ct - Affidavits/Homeowner - 04/13/2007l_ 0111D ILL] L] i
uil[l;n { `Er ic15
Cin, 80702254
ovdner(s) Di.record of th'_ property%'located
(Please ``]ru,�
at 7 ZU (iW Nt h NOl l� U� Fort Collins, Colorado, f ereby declare and attes? to
—' (please prink
tIIEfollowing: (al a ui;.1; - o, iihi h v�rappiis)
H,. am/ we are a-ctinq on my/our behalf for the purpose of obtaining a building permit and
personally constructing my/our home. The home to be constructed h. on the above property and
will be my/our p-unary residence. 1/we have not personally constructed and/ other nevv home in Foci
Collins city limits within the past 24-month period.
E. I am/we are acting on my/our behalf for the purpose of obtaining a building permit and
personally constru:-ting an alteration cr addition to my/our home. The home to be altered is on the
above property and is my/our persc mal residence.
❑ C. T am/v, are a 'Ling on my/our behalf for the purpose of obtaining a building permit and personally
construing a non-stru aural alteration to my/our z ta�hed single family aUreEiing unEt. The
home to be altered is my personal residence. Tam aware that i/we cannon do any structural,
elearical, plumbing, or mei-hanical worl; and mupst hire contra��LL)rs/subcontra.-eors who are
currentl�% licensed with the City of Fort Collins.
T am/we are personally oer forming all or" the work, or will be continuously/ supervising unpaid volunteers,
ly/ related tCJ the Constru�tlDn of the above reierBnCed borne, VJi ICh IS described more
The wort: 15 direct
Tully on Permit Application t (obtained from Euilding and Zoning 0=jice).
T/we understand that any persons or agents contracted tD Pe form structural wood -framing, plumbing;
HVAC, electrical work:, roofing or cast -in -place structural concrete work, MUST SE licensed contractors
in accordance with the regulation of the City of Fort Collins.
I/we understand that failure to comPh! with any of the above conditions may result in revocation of
any permit associated with the. above Permit Application number, forfeiture of any fees that have been
collected, a Stop wort: Order and a court summons:
Sign in the presenfe of
Owner
Owner
The foreoi�ng Afr-davit was acknovdedged before me IS d of
f
►rIY1j L`L7 ' , . month, year)by O
Witness my hianO�(R�l
a = o
My commission expires: G p;o _
PUev Qe��,
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�My SCION 1 EXQ�����
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NDtary Public
Pdorih College Are���tiie L'O. Tr,;. �SCI , Fcvrt Collins, C SOi�-L680 9 0) 2211-6GLi (%'1U)261�4