HomeMy WebLinkAbout911 AKIN AVE - AFFIDAVITS - 8/16/2011f[tins
3I . - 4411.
51.BtNnoxiCnag5t8, EeTD-Ave
e4v4ne Ft Ccfs; rizetit ancf Trans�7crtatiatt
COCa 805Z4
_ M-M-5760-ptmne 77OL22- -6t34-fax -
r.
(/,ve, �tx.�y Rtr_Utk,/L as cwrter(s) of record'cf the prap4r,,j located
AL 911 � Auti AocNuk. Fart Ca�tns,_ccicrada, hereby dec are and attest .
ta: the foUdwing: (p/eese c.' eck onhf Bte one ifiat aplies)
❑ ! aril! w+e- are kdng on my/ -our behaff fdr the purpose .cf Obtaining a buHcatg; : ermit and pimcnaIIy
constructing my/our home. The home to be ccnshxt-.d is*•cn•tf►� ai'rdvi prcedy and TnrtTt'b rriyfaur
prfm;q residence. V ve have nct.personaliy cc ns'�ructed nay other, ne<ry homes in the Fart CaiEins
curt &rub yv fiiri the_ has: 24;mcrttft •peo&
ry ,
E arrih+ve are acting an rttylac.T beE feriae parpase cf.,Qttalr ff7g a-b6itai 9 Fermiianc pessdnaffy
const wing an atteraticn or adStIdn to my/con house. i •ne house to be altered is an the abCve
propgrty and.. is my/our Ferzcr EJ rEsidertce.
❑ Vah-Om: are acting on my/cur l efraff fat 6e.puipase c cirfaitiirg attalcang, perrnh ar�c� peisarr allyy
co g a non-structural alter ion to my/our at!ad single_#aMpy dbietiirt irii The P,cuse
to lie altered is my/cur percnal residence.. E. art;awware.that Nw� cai'irot do %
electrical, pixrding are me&iarikif vvdrk end rn&V hir: Obrtra&crlsubccnt�
are
currertif'j licensed and insures. wish the Cit<j of Fort Coffins.
r anv'we are perscrAlly performing alt of the wale, er wM be conthuaurly sUPervWMq-unpaa vcl�rs.
The Work is �i c y re tf•, � ve raferanced home, tuEhicft is descnted more fatly
cn Parmii AppG crt # i I (obt`Ined from Buitding and Zoning OR, ce). LIM
understand t arty perar: aj or'ag_ zo - e orm stmC iral weed- frzming, piing, HVAC,
e[ec�icai avct�; oc iRg rxst in ptaae:.st uctur-a1xricrete work, � S7— E?E Ic sod c:oritractcr ir,
accordar6 u M;the regulation cf• the C tj of Fort Ccliins.
U,ae underia .d that failure to ccrnplY with any of the acave con&cns may result in ra ccz en of any
permit associated wM the e a ve Permit 4piicaticn number, fcrfei ure cf.any fees that have_ been
.corrected, a Stop Work Otter and a court su:iir tons:
sisn !n 2.s Freserace of Notary PutGc ,
Gwr r
Cc.wne.
i ne foregoing,Ida;At was ackrcvAe-dgEd befera me en this /� y of w
(rner!th, year) by Da, 1dr-I �L�lsuc�► Lie c
41rt mess my hard and ofncW seal A.
t0j commission a Aires: pp'Tggl,
Notar/ Public