HomeMy WebLinkAbout4350 upham st_A
(I City of
-69'Wheat
COMMUNITY DEVELOPMENT
Official Certification of Property Owner Permit
THIS IS TO CERTIFY that[, the property owner, by my signature, attest that I currently
reside at the project property, or intend to reside at the property for a period of one year after
completion of the project, and am personally performing all work, without the assistance of
hired or professional workers, or, if hiring sub -contractors, list them on the permit.
Consultations and inspections will only be performed with the homeowner of record present at
the project property.
Propert
Project
Lh �
Notarized signature of Applicant
State of Colorado }
County of Rrc�f�n-.hoe } ss
TIFFANY q, wgGGENER
STATE OF COLORA00
NOTARY ID 20204023276
MY COMMI9810N E%PIRE307/07ROA
The foregoing instrument was acknowledged by me this Uo±p ,day of Mot,la . 202 -7 -by
M'.ch��1 n•R�ileVsoY,. �J
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Nota u c My Commission ExpiresJ_1�7/20Z'}