HomeMy WebLinkAboutFile Documents.214 W Bleeker St.0014-2024-BROF (2) 214 W Bleeker
ADDRESS: PERMIT NUMBER:
COMMUNITY DEVELOPMENT DEPARTMENT
HOMEOWNER ASSOCIATION COMPLIANCE FORM CITY OF ASPEN
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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.
214 W BLEEKER 273512435005
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 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
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 or homeowner association rules or bylaws. I understand that this document is a public
document.
1-31-24
Owner Signature Date
Owner Printed Name SC-AO t L )E'ELa=>+-, 4)2vs D ►s.r)
wFS7 tat c tC CA t 1)/AA 5 l c c
OR
Owner's Attorney Signature Date
Owner's Attorney Printed Name
( CITY OF ASPEN 427 RIO GRANDE PL I ASPEN, CO �81611
November 2022 i
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BUILDING DEPARTMENT