HomeMy WebLinkAboutFile Documents.975 Chatfield Rd.0224.2017 (60).ARBKADDROSi
PERMITNUM%k .. —
COMMUNTY UVELOVANT DEPARTMENT l
HOMEOWNER ASSOCIATION COMPLIANCE FORM
All applications for a building permit within the City of Aspen are requned to include a certificatian of compilance
with apphcabie covenants and homeowner association pplidcs. The cea+hcation must be signed by the property
owner or Aulhoru" Agent representing the property owner. The fol3ovnng certification shall accompany the
application for a permit,
975 Chatreld Rd Aspen
rows. .pro.
273502402001
1, the property owner, certify as follows: (pick one)
fi This property is not subject to a homeowner's assauahon or other form al private covenant.
L3 this property is subject to a homeowners associOPOn or private covenant and the improvements
proposed m this building permit do not require approval by the homeowners ass"iation or covenant
beneficiary.
❑ This property 1%subject to a homeowners association or prrvate covenant and the improvements
proposed in this budding permit have been approved by the homeowners association or covenant beneficiary.
1 vnderstond the City or Aspen docs not interpret, rriforoe, or manage the applicability- meaning- or ik"KI of
private covenants or homeowner issrxi3tion rules or bylaws. I understand that this document is a public
da nncnt.
Owner Signature Date x>3'
Owner Printed Name K pal Estate Assoc LL
OR
Authorized Agent Signature -� Date���
_ L
Avthorovd Agent Printed Name Barry Bemsten
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