HomeMy WebLinkAbout646 STOVER ST - AFFIDAVITS - 1/15/2021RECEPTION #20210006313, 1/15/2021 3:41:34 PM,
1 of 1, $13.00
City Of Angela Myers, Clerk & Recorder, Ladmer County, CO
FF6rt Collins
AFFID"IT
(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,
JOSc.ek
as owner(s) of record of the property located
at:
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Fort Collins, Colorado, hereby declare and attest
to the following: (please check only the one that applies)
J4 I 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.
❑ 1 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, I/we
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 Collins Land Use Code and could result in a court summons.
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The regoing Affidavit was acknowledged before me on this �� day of
x&k- 070 (month, year) by "
Witness my hand and official seal
My commission expires: 16— I ( -,9 3
JODIE J. HUGHES
NOTARY PUBLIC
STATE OF COLORADO
NOTARY 10 201W39007
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