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HomeMy WebLinkAbout300 Mae St - Affidavits/Homeowner - 06/27/2011lahning,, Qevelopfixin and T.ra�hsportation -� :a Collins,' . asa ' 281 N'oitege Ave` Ft Co(iir C0 8b§24 970=21r6ifi0 phone 970.2246134 fax t/we, S_W a 91A U dP.r as owner(s) of teoord-of the property located At: 3 ©O WI a f- Si- k t— ,Fort Collins, Colorado, hereby declare and attest to the following: (please check only the one that appres) Q 1 a v*wie are acting on myt. our -behalf for the purpose -of obtaining• a building; permit and personalty constructing my/our home. The home to -be: constructed. is'ort'itie:above properiyAhdVitt,be.my/our primary residence. Uwe have not personally constructed nay other new homes in the Fort Collins city,itmits wtthtn-the p4st:24=monttt-per1od. 0 t am/we are acting on my/.octc bp4gli for.. #he purRo§a..s: g(?t�i�ttg:at'[dipg,Fertnit andkpersohatty . constructing an alteration or addition to my/our house. The douse to be altered is on the above properly and Is my/our personal residence. 's I am/we' are-ecttng on my/out behalf for the purpose-&-'obtairiing•a'buiiding,permit and personally ctl'ucting a-nora=structurafafCer toato my/oursiia6 ed-si*e-tamity-dwellingi"unit: The -house - on. to be altered is my/our personal residence. I am aware that ITwe�cariiibf dd any strucfuralI ~ " electrical, plumbing�ore. mechariioat-wark-'and:'-Mui*hire caritraActors/subddhtra 6rs who-arL- currently licensed and insures with the City of Fort Collins, I amfwe are personally performing all of the work, or will be cogtinuously supervising unpaid volunteers. The work is directly related to the construction of the abov,6*referenced home- a7�itch is itescrt'bed more fully onP•ermit Application # (obtained from Buiiding and Zoning office). Uwe understand that any person(s) or agents) contracted to perEomm.structural wood=framing, plumbing,''HVAC, . -- •- - .. -------- Uwe understand that failure to comply with any of the above conditions may result in revocation of any permits associated with the above Permit Application number, forfeiture of any fees that have been -collected, a Stop Word Order and a court sumrhons. - Sign in ate presence of Notary Public Co-owner The foregoing Affidavit was acknowledged before me on this day of a0 (month, year) by . Witness my hand and official seal My commission expires: