HomeMy WebLinkAbout213 S Sherwood St - Affidavits/Homeowner - 02/19/2014 (2)SIN i.}� NQC Jai Q�
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RECEPTION#: 20140010973, 03/05/2014 at
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Angela Myers, Clerk & Recorder, Larimer
County, CO
AFFIDAVIT
(as required by Section 4.7(1))(3), Section 4.8(D)(3)
or .S,ection 4.9(D)(3) of the Fort Collins Land Use Code)
I/we, .. �.f=A /Y ---0 P S J/jrj L-.�.....
-� , as'owner(s)-of°recordof•the property -located" �--
at: 6z- v p $ ; , 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.
❑ 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. Thealterationincludes 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 Notary Public, record the document with the Larimer County Clerk and Recorder, and submit a copy of the
— ---recorded document with the building permit for the work checked above.
Owner Co-owner
The foregoing Affidavit was acknowledged before me on this �h day of
Izbrugr 20 jy (month, year) by kr1"5 r) 6'�Ic,r1e Sffcnl-,et--)C
Witness my hand and official seal
My commission expires: 1 z / 19 /z 01 6
KRISTIN MARIE STFF 1F17"S
NOTARY PUBLIC:
STATE OF COLGRA00
NOTARY ID 20124031120
COMMISSION EXPIRES DEC. 19, 2016
Notary Public