HomeMy WebLinkAboutFile Documents.630 W Hallam St.0147.2018 (7).ARBK ADDRESS:
PERMIT NUMBER:
COMMUNITY DEVELOPMENT DEPARTMENT ��
HOMEOWNER ASSOCIATION COMPLIANCE FORM A.CPFN
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.
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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 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 is subject to a homeowners association or private covenant and the improvements
reposed 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 or homeowner association rules or bylaws. I understand that this document is a public
document.
Owner Signature W ) Date
15*UAW
Owner Printed Name `�! �, l— 1QlVK)
OR
Owner's Attorney Signature Date
Owner's Attorney Printed Name
I CITY OF ASPENJanuary2018 130 S. GALENA ST I ASPEN CO 816tir o
8
ASPEN
BUILDING DEPARTMENT