HomeMy WebLinkAbout421 N SHERWOOD ST - AFFIDAVITS - 2/21/2020Fort Collins
AFFIDAVIT
RECEPTION #20200013462, 2/27t202O 1:10:18 PM,
1 of 1, $13.00
Angela Myers, Clerk € Recorder, Larimer County, CO
(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,'Zir FEE �r , / KE_�+-O , as owner(s) of record of the property located
at: �2 /�% , Fort Collins, Colorado, hereby declare and attest
to the following: (please check only the one that applies)
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 myl 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 sighing this affidavit, I/we
declare that the building will net be used as a dwelling unit.
Uwe 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.
The foregoing Affidavit was acknowledged before me on this ro j'} day of
PL,n,tan l , Q o �Z (month, year) by k4'r-C �` Vn A
'i
Witness my hand and official seal
My commission expires:
Notary Pub c
ERIN BARZAK
Notary Public
State of Colorado
Notary ID # 20094035510
My Commission Ex Tres 03. 55-2023