HomeMy WebLinkAbout5703 Coppervein St - Affidavits/Housing Model - 12/05/2013City of Planning, Development & Transportation
� ty Collins Community Development 8 Neighborhood Services
281 N College Ave P.O. Box 580
/"""�. Fort Collins, CO 80522
Phone 970-416-2740 Fax 970-224-6134
www.fcgov.00m
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H NC IV��D�L�ARIETY AFFIDA,VCIT
Permit Applica i n 0°��1 Date �� S
Job Site Address
Housing Model ` k �JL, %CJf ,N V V
SubdivisionV UNTf `' :r f `tiJ
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FitiflQ #
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Lot # I
I verify that the dwelling that is proposed to be constructed at the above described property does
not adjoin a lot with the same housing model, if on the same block face, as required by Section
3.8.15 of the City of Fort Collins Land Use Code.
Michele Trujillo, Finance Manager, as Agent
Contractor/Owner (please print) Signature —
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