HomeMy WebLinkAbout2312 Eastwood Dr - Affidavits/Homeowner - 03/28/2011131),0 f,-,-)-o 7
Ci�/ O Ftannmg, Devefoprne�t and`Transportatian
Po Box 580.
y'. ,:•;,tL� gat N Cole e av
Fr Caains; CO k514
470-71,1-6760" hone 470'%%a_ •?
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/A as cNrEr(s) ci reccr 'cT she prccer/ local
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Far Callfn.c , Ccicra¢q, herecy declare Z17 . _=t.t _
tc: the fcllcwing: (r(erse c. reck arty the cre iltal acpfies)
G 1 arrl we ar6 c-cng on mn / our tehalf for the purpcsa cf obtaining a builcing, permlt and �erscr�ali,r
ccnstmeing my/cLr hcme. The hcme to be c�rstiuc ed'is cri Lhe m ove ,r'-perty and Willi be my/cur
pririary residence. Genre have nct,perscnaily ccnsLr.:Cad nay other new hones in the Fart C-fiins
cit° gr`riis4iifii "the;p� 24-mcrfh ;pertcd.
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! arr�ve are acing on my/our benzalf Qc the `perpcsa cr'cE;alrirg a bd ing•Fern►t ar�d_cerscnally
constticting an afteraticn or additcn tc my/ -Ur house. Tine house to be altered (a on the above
prepery, and, is rry/cur perscnal residence,
G I azn!•nr arR ec'inC. cn mylcur �ehaif �e�i'e.rur;,os� cf cciairfr �rfrcii(din n
S - g �errrai and perscrial.y
cdrst^ucting a hcn-structural alteratfcn to rry/cur at'adMd single_f-am4iy`dweiling Lkr'ne house
to be altered is my/cur perscnel residence.. 1. am..awara that Ywa cani; -t;dc aiiX st, rctural,
efectncal, plumbing cre me&iantca work and rust Hire =r,tractcr-_lsubcontracter who are
curs entry licensed and insures with the City cf Fort Coitus.
I an0Ne are peescraihy pe!1crm ing all of the wcek, cr will be ccntinueuslysLcerlising- urpaid.vG(unteers.
The wort is c9ractfy related t tf ie r�^rs� �c��ier of the above referanczd hcme, which is descriired Mora fully
cr Fermit Apoirkaticn i .� I Iy I �. C) . (ectained from Building and Zoning once). Ome
understand thafany perscn(s) eragent(s) contracted to perfcrm structural wood -framing, piunbing, HVAC,
elec'.rc2f wcr`c, roofing ct:cast-in-p(acs:.structret��I-ccdcrefe wer' yEC.ST Ec-�cer.sed-ccrtractcrs-ir -- -- — - — - - -
acccmanca wr6ithe regufaucn cf the City cf Fort CCllins.
V,Nc- under�tard Ahat failure to ccrnpiy with any of tie above ccrdcifcns may resLlt it r-vccaticr cf any
permit; assccfated wfth the a cve Fermit Apeiicaticn numcE_ r, forfeiture cf.any fees that have been
collected, a Stoc'Work Order and a court surrmcns: :
s gn ,n tt,e pr4sercc-; cf Nlatary P�tr�c
•�Jt/ ®/�.Qfi71/ - •
Gwrer Cc -owner.
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The for✓ goi;,5 Arida art, a_s ac cncN�l�dged before ne en this CA day of
vii;U ess my hand ar td Gfficic'_i Syb��` �;+ '•;�
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