HomeMy WebLinkAboutAgricultural Empolyee Housing AffidavitGarfield County
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AGRICULTURAL EMPLOYEE HOUSING AFFIDAVIT
I, Roxy's Red Barn, LLC (Michael Lawler, Manager) 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: 5644 County Road 100
Assessors Parcel Number: 239119400200
Building Description: 2,498 sf , 3 bedroom home with 2 car garage
Building Square Feet Habitable: 2,498 sf
Building Permit Number: BLRE-09-25-9481
OWTS (Septic) Permit Numben SEPTA -25-yg482
Owner: Roxy's Red Barn, LLC
(Signature)
Owner Address: PO Box 5085, Santa Barbara, CA 93150
n.tr - 10/14/2025
Witness:
This form will be recorded with the Garfield County Clerk and Recorders office as
reference for any future title searches.