HomeMy WebLinkAboutMaster Permit.501 W Main St.0018-2022-BREP (2) ADDRESS:
5171V.Ilan SI,8 519 W,Main SI.M101110102 As4'n,Cc],h 1 I
PERMIT NUMBER: 22-1614
COMMUNITY DEVELOPMENT DEPARTMENTo
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HOMEOWNER ASSOCIATION COMPLIANCE FORM 4�
CITY OF ASPEN
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 attorney representing the property owner. The following certification shall accompany the application
for a permit.
517 W. Main Street&519 W. Main St.Aspen,CO 81611 D101 &D102 273512449027
ADDRESS UNIT#
PARCEL ID#
I, the property owner, certify as follows: (pick one)
❑ This property is not subject to a homeowners association or other form of private covenant.
❑ This propert is subject to a homeown
ers 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 is subject to a homeowners association or private covenant and the improvements
proposed in this building permit have been approved by the homeowners association or covenant beneficiary.
I understand the City of Aspen does not interpret, enforce, or manage the applicability, meaning, or effect
of private covenants Iomeowne association rules or bylaws. I understand that this document is a public
document.
Owner Signature ilied-
Date 6/2/2-
Owner Printed Name
OR
Owner's Attorney Signature Date
Owner's Attorney Printed Name
RE( E1V L.
ub/uO/2 2
f CITY OF ASPENJanuary2018 130 S. GALENA ST I ASPEN, CO 81.611
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