HomeMy WebLinkAboutMaster Permit.975 Chatfield Rd.0224.2017 (4).ARBKPERMIT NUMRER: ADDRESS:
COMMUNITY DFVFt npMFNT DEPARTMENT
HOMEOWNER ASSOCIATION COMPLIANCE FORM
All applications for a building permit within the City of Aspen are required to include a certification of compliance
with applicable covenants and homeowner association policies. The certification must be signed by the property
owner or Authorized Agent representing the property owner. The following certification shall accompany the
application for a permit.
.00am 975 Chatfield Rd Aspen
uan• INUICIFtwir
273502402001
I, the property owner, certify as follows: (pick one)
19 This property is not subject to a homeowner's association or other form of private covenant.
❑ This property is subject to a homeowners association or private covenant and the improvements
proposed in this building permit do not require approval by the homeowners association or covenant
beneficiary.
❑ This property a subject to a homeowners association or private covenant and the improvements
proposed in this budding permit have been approved by the homeowners association or covenant beneficiary.
I understand the city or Aspen does not interpret, enforce, or manage the applicability, meaninP, or effect of
private covenants or homeowner association rules or bylaws. I understand that this document is a public
document.
Owner Signature Date Z8'
Owner Printed Name K - cal Estate ASSOC LL
OR
Authorized Agent Signature - \ Date
Authorized Agent Printed Name Bally Semslen
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