HomeMy WebLinkAbout440 Circle Dr - Affidavits/Accessory or Secondary Building - 07/07/2017RECEPTION #20170044656, 7/7/2017 2 59.46 PM, 1 of 1, S13 00
Angela Myers, Clerk & Recorder, Larimer Counh, CO
City. of
F6rt Collins
B f !3 66ocAm-
Habitable Space Accessory Building AFFIDAVIT
I/we, OS►I,U & rSLCCLt as owner(s) of record of the �property located
✓ T` (;i �n V o 2
at � � V� �/ � P ,Fort Collins, Colorado, hereby declare and attest
to the following (please check only the one that applies)
❑ 1 am/ we are acting on my/ our behalf for the purpose of obtaining a budding permit for a new,
detached accessory building to be constructed at the above -listed property The budding will be
constructed with water and/or sewer service By signing this affidavit, I/we declare that the budding
will not be used as a dwelling unit No cooking appliance is permitted
I am/ we are acting on my/ our behalf for the purpose of obtaining a budding 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 budding By signing this affidavit, I/we
declare that the budding will not be used as a dwelling unit No cooking appliance is permitted
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 Lanmer County Clerk and Recorder, and submit a copy of the
recorded docu977
Withit for the work checked above
caner Co-owner
✓1-t 4-
The foregoing Affidavit was acknowledged before me on this
day of
(month, year) by _j
Witness my hand and official seal
My commission expires
MELISSA NELSON
NOTARY PUBLIC
STATE OFCOLORADO
NOTARY ID 0 20154010901
MY COMMISSION EXPIRES 03-14.202C
Notary Public