HomeMy WebLinkAbout749 Bear Creek Dr - Affidavits/Homeowner - 12/24/2013M�
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/we, as owners) record of the property located
Colorado hereby ded
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-- 6 following Z(p/e6gdtdlie&k o nY-th6,
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building am/ ; We. are .acting _on rhy[ou-r behalf forthe purpose of-bbtaihing,a p
t
to b tt
is -on -- e
constructing my/pur.hdmij.. Thefflorhe e cons ruc ed the above property
.. ...... Or
primary -.constructed -hay.' th h- t
yt,resideftb�!" have persona y
p eri�new. o in�
Collins Fort
within the paist'24-rinbn`t,h'period.
city limits ithi
l,
g a -and Ob-rsbh
61 " - -13' ifid' 'i -
I am we dre,atting-on, my/our. bh'alf f6i�t the obtaining rI I,, -, p ing permit
... .... . personally
The hdu'�6 to
constructing an alteration I or-"t6 addition to ffi&ur hou�e, altered is on the, 6 above
d I/ . ...... lij
property an is -my our -person a resi ence,
'bur behalf for the purpose 6se 'building dpersonally'. ,
El I amAV6 are
acting on my/4 of 615tainin p. rl . .. I
I g.a permi an
h to my/our;6ttach d"'* singlefamily "'a ......
consteuct1O1g-anonjstrUctd I sratibing'unit ""The" ouse
m alteration e sing el
It
our pe
c diji t
to be alteredIis i:residence` ftffit`d%V�i� Ro O�any`SLIuctural,
mi
electrical, plOmbiri'd ore mechanical h`.
work and t )ntrac�to subt6 h
ri must hire cc n racLors.w o are
an insures with if M
currently licensed d es i t
... It
ns
hp
am we are personally2 performing continuously supervising 'u S',
The work is diredtly relatedttb ffid construction r mriced Home Which is described more fully
Permit Application(obtained ,.,.from Building 'and Zo'n'ihg office) 1/��
oh -
understand that any pers6h(s).-,or,agL-ht(s)d6ht'�actE� tur6l,Wo 'd-fr-'
t 97 Strut o arning; plurn ing, HVAG., f
eIe'c_ViqaI'w_o'rk, W -
,p ace,s ructueal r-bhc'r work, MU8Y�.BE.,'licen'std!c6hfea6t6�s'in':,�"1
accordance witha-tion"Of1he City of .Fort Collins. regul ffie''
C ol I i,
t . f
Mwe understand that failure o comply with any of, -the ab&b.'conditioris'ma' I
y result revocation o a y:
n
permits I assodat6d With the aboVd' 6r it Applicationn I umber, f r o r I f ' eitdrebf ah
f b6s.th at, been,Collbcted'a Stop Word OrderA-g"
a a co summons
0
Sign in the
P�"Tce of Notary 11C, 2
A �4, 0
vin C_
Co-owner
L4
erm an n , al y
6" and m /0
pert
1 m6s h'e
rt m m
The foregoing 'Affidavit .was _ged 'bef 6'rb ffia c .n clay bf.I.J,
(month
,year) by
n f hand �6 fibal,'seal
6 8 s rn jh
i a
Notary' Public
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