HomeMy WebLinkAbout213 S Sherwood St - Affidavits/Homeowner - 02/19/2014AFFIDAVIT
(as required by Section 4.7(D)(3), Section 4.8(D)(3)
or Section 4.9(D)(3) of the Fort Collins Land Use Code)
I/we, , -3l=A O P S ZRIP G R -,as owner(s) of record of the property located
at: Z ! 3 S; SWFK �i11 o A $ %, , Fort Collins, Colorado, hereby declare and attest
to the following: (please check only the one that applies)
XI 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. The alteration
includes 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 �day of
1c�ort�gr� 201y (month, year) by lLristin Mcirie S+cpkey) C
Witness my hand and official seal
My commission expires: I z / 19 k o 16
KRISTIN MARIE STF°HENS
NOTARY PUBLt+
STATE OF COLORADO
NOTARY ID 20124031120
COMMISSION EXPIRES DEC. 19, 201
Notary Public