HomeMy WebLinkAbout369 Pilsner St - Affidavits/Housing Model - 03/01/2017Planning, Development & Transportation
City of Community Development & Neighborhood services
F®1 t Collins 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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RIETY AFFIDAVIT
34
Permit Application # R 7 ®°) A Date
Job Site Address s(o
Housing Model t-<✓CLJA�14C,, wK-)L>+T16D
Subdivision Filing # ` Lot # I S
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
3.6.15 of the City of Fort Collins Land Use Code.
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Contractor/Owner (please print) Signature