HomeMy WebLinkAbout3819 Benthaven St - Affidavits/Homeowner - 07/30/1986CITY OF FORT COLLINS 20342
OFFICE OF BUILDING INSPECTION
HOMEOWNER'S AFFIDAVIT
STATE OF COLORADO )
)
COUNTY OF LARIMER )
upon my oath, depose and state as
follows:
1. That I own and will reside at //eo�7 and all
work to be performed in conjunction with the attached application for building
Permit is to be performed at said address.
2. That said work is to be performed under my complete supervision and
control.
3. That I have not constructed any other dwelling as my personal residence
within the last three (3) years.
Subscribed and sworn to before me this __2 day of q �y
Witness my hand and official seal.
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NOTARY PUBLIC
BUILDING INSPECTION