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HOUSING MODEL VARIETY AFFIDAVIT
1 e 04/14/17
Permit ApplicatioB � 6 1.�at _ _ _
Job Site Address 245 Dassault Street
Housing Model 4203 D
Subdivision Montage (East.Rldge) Fling # 2
Lot # 06
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.
Nancy:Voel _
dior/Owner (please print) - Signature