HomeMy WebLinkAbout1325 W Mountain Ave - Affidavits/Homeowner - 11/02/2012RECEPTION#: 20120077729, 11/02/2012 at 01:01:51 PM, 1 OF 1, R $11.00 TD Pgs: 0
Scott Doyle, Larimer County, CO
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AFFIDAVIT
(as required by Section 4.7(1))(3), Section 4.8(D)(3)
or Section 4.9(D)(3) of the Fort Collins Land Use Code)
/I/we, So3ep (,� E . SV �t as owner(s) of record of the property located
VVV at: 1'62,5 trJe-si— IMoLA..A�i N Ajjk_ Fort Collins, Colorado, hereby declare and attest
to the following: (please check only the one that applies)
I am/ we are acting on my/ our behalf for the purpose of obtaining a building permit for a new,
detached accessory building to be constructed at the above -listed property. The building will be
constructed with water and/or sewer service. By signing this affidavit, I/we declare that the building
will not be used as a dwelling unit.
lJ 1 am/ we are acting on my/ our behalf for the purpose of obtaining a building permit for an alteration
to an existing, detached accessory building located at the above -listed property. The alteration
includes adding water and/or sewer service to the existing building. By signing this affidavit, I/we
declare that the building will not be used as a dwelling unit.
I/we understand that using the building as a dwelling unit without approval from the City of Fort Collins will
be a violation of the Fort Collins Land Use Code and could result in a court summons.
Sign in the presence of N lary Puby�cord the document with the Latimer County Clerk and Recorder, and submit a copy o/the
recorded document with he 6fd/� rmit for the work checked above.
Co-owner
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The foregoing Affidavit was acknowledged before me on this / day of
1/?_ (month, year) by S
Witness my hand and official seal
My commission expires:
Notary Piublic
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