HomeMy WebLinkAboutAg. Employee Housing Affidavits 07.02.2020III M11111 Pi Nil NI I'M'elfil'ARYili14hoiila1I III
Reception#: 937878
07/02/2020 03:19:16 PM Jean Alberico
1 of 1 Rec Fee:$13.00 Doc ree•0 00 GARFIELD COUNTY CO
AGRICULTURAL EMPLOYEE AFFIDAVIT
FOR EMPLOYEE HOUSING
j; Franklin Mountain Glenwood Sprin- s li LL state that the residential structure
described below will be occupied solely as an agricultural employee dwelling unit
without rent provided to an individual and related family member who is/are employed in
an agricultural use, including farms, garden, greenhouse, nursery, .orchard, ranch, small
animal farm for production of poultry, fish, forbearing or other small animals, as
prescribed in the Garfield County Land Use and Development Code. I further state that
the residential structure is located on Agricultural Land defined in Article 15 of the
Garfield County Land Use and Development Code.
It is agreed that proof of employment, in the form of Internal Revenue Service Forms
W-2 or 1099 for each person employed as described above will be submitted to the
Garfield County Community Development Department upon request by the county.
Failure to provide this information for each year the unit is occupied will result in a code
violation, revocation of this status, and fines allowed by law.
It is agreed that this property will not be sold to another party without representing that
the agricultural employee dwelling structure is for agricultural employees only and may
not be used for any other purpose.
Property and Building Description:
Address 1877 Canyon Creek Road Glenwoos Sorin_os. CO 8160i (Chamolon Sitel
Assessors Parcel Number 2123 2320 0064
Building)1.esctilptlon. IRC Code Modular Home
Building Square Feet Habitable_i716
Building Permit Number
ISDS (Septic) Permit Number
/ / of? oe*t f/ Of �ranrt/ r? /Woadlin
Owne77i21 iii41A,/� iklia xili ge& 644 nj.s (Signature)
Owner Address ! -
Date 1c7
10
Witness e e: f] , (D.i b F7 p rzL
This form will be recorded with the Garfield County Clerk and Recorders office as
reference for any future title searches.
1111PATIMI IiIALI°VMI4.'1/VIWN1 I' 11111
Recept.iontt : 937879
07102/2020 03.19 16 PM Jean A1ber&co
1 of 1 Rec Fee:$13.00 Doc Fee.O 00 GRRFIELO COUNTY CO
re. Garfield County 1
AGRICULTURAL EMPLOYEE AFFIDAVIT
FOR EMPLOYEE ROUSING
L. Franklin Mountain Glenwood Springs II LL a. state that the residential structure
described below will be occupied solely as an agricultural employee dwelling unit
without rent provided to an individual and related family member who is/are employed in
an agricultural use, including farms, garden, greenhouse, nursery, orchard, ranch, small
animal farm for production of poultry, fish, forbearing or other small animals, as
prescribed in the Garfield County Land Use and Development Code. I further state that
the residential structure is located on Agricultural Land defined in Article 15 of the
Garfield County Land Use and Development Code.
It is agreed that proof of employment, in the form of Internal Revenue Service Forms
W-2 or 1099 for each person employed as described above will be submitted to the
Garfield County Community Development Department upon request by the county.
Failure to pro\ride this information for each year the unit is occupied will result in a code
violation, revocation of this status, and fines allowed by law.
It is agreed that this property will not be sold to another party without representing that
the agricultural employee dwelling structure is for agricultural employees only and may
not be used for any other purpose.
Property and Building Description:
Sa
Address 1877 Cannon Creek Road Glenwoos winos. CO 816011Bonnaaila-Site
Assessors Parcel Number 2123 2320 0064
Building Description IRC Code Modular Home
Building Square Feet Habitable 2128
Building Permit Number
ISDS (Septic) Permit Number
Owner �d /774zek %Ptak
Owner Address L'].3 . vyvlivN
Date- I In t., 21
Witnes
/rha// B/ Trann/. ff7arrn/t'i.7
dleendez a>7 06711„aid J rrl s // elignatuire)
This form will be recorded with the Garfield County Clerk and Recorders office as
reference for any future title searches.