HomeMy WebLinkAbout900 KIMBALL RD - AFFIDAVITS - 12/20/1982HOMEOWNER'S AFFIDAVIT
STATE OF' COLORADO )
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COUNTY OF LARIMER )
I, ��ii4Zr S A/ BA,ey/ upon my oath, depose and
state as follows:
1. That I own and resi le at �9aQ
and all work to be performed in conjunction with the attached application for
building permit is to be performed at said address.
2. That said work is to be performed under my complete supervision and
control and that no unlicensed contractors will be paid any compensation in
connection with construction.
// Subscrri/ibed and sworn to before me this day of
Witness my hand and official seal.
-- My commission exp.i.res:_ ,,+,..?,
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NOTARY PUBLIC