HomeMy WebLinkAbout3205 Independence StreetaR
I A I
M*� 3205 Independence SL CO 80033
Ojjaak. (PlOase print), Deirdre Santosoc2y
303-667-0966
foundation. Bring attached atrium to 1 $ __3 3, 000
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I licivhy ccrti(y that (lie setback ditances prolu-tsed by this IK"uil application are accarate and do not violate applicable Alvdinance-;,
ruics or rcgulatiore; of the City ot'Wheat Ridge or covellants. cascments or restrictions of record.- that all nicasumments shown and
allegations made arc acvuratc, (fiat I hate c tvad and agroc to abide kv Al conditions printed on this application and that I assusiu: full
resqvnsibility for compliance with applicalre City of Wheat Ridge stands sand ordinances, for svork under any rwonk issutxf Ixewd on
this application, that I area the owner or hme bten authorizxxt by the legal owner (if the pro ic;Ivi the &scribW shark
Peny to lvr
and am also authod/W by the legal owner c,&any entity included cost this application to fist that entity on this applicaticni,
CIRCLE avE, (OWNER) of (01CIVER) (COATRACrOA)
Byron Watson Q*ICNATM: DATE: