HomeMy WebLinkAbout616 W OAK ST - AFFIDAVITS - 12/7/2012RECEPTION#: 20120088290, 12/07/2012 at 01:41:04 PM, 1 OF 1, R $11.00 TD Pgs: 0
Scott Doyle, Larimer County, CO
AFFIDAVIT
(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, gel e`r as owner(s) of record of the property located
at: 6 161 2,-1 OA K 5/- 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 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.
I 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, Uwe
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 ollins Land Use Code and could result in a court summons.
Sign in the presenc o/ Not ' Public, reco a docurgent with the Lanmer County Clerk and Recorder, and submit a copy o/ the
recorded docume t with a building pemlit f r the woA checked above.
Co-owner
The foregoing Affidavit was acknowledged before me on this day of
fmonth, year) by
Witness my hand and official seal
My commission expires: /l a'�
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