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Recording Requested by and return to:EL PASO COUNTY PLANNING & COMMUNITYDEVELOPMENT DEPARTMENT2880 INTERNATINAL CIRCLE, SUITE 110COLORADO SPRINGS, CO 80910719-520-6300

FOR RECORDER USE ONLY

EXTENDED FAMILY HOUSING COMPLIANCE AFFIDAVITI AO'~iq33

File No. t1::k- 1,8 z::k '?1,

IJ, __ _J=__:Q~h--=V\_l___jplL-'=--.Lcl_'!..._~o--.--~__c-+-O~""~-------,,owner (or owner's agent for ,)

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have applied for approval of extended family housing for the purposes of ~c-J... ~ b c:l."._,.JJ~(description of family circumstances)

-&- ~~ ~....-J.±- $0..,., __ ,under development application

AL i~).?"number c:A I r:s \ qffi being duly sworn on oath, deposes and says:

J, as applicant, own and hold title to the following described real property (hereinafter referred to as "the PROPERTY"), orhave been given authority to represent the owner by an Owner's Affidavit of the PROPERTY for purposes of the abovereferenced applications: I

5 UG" f!-T oWl" W "185 FT orE£ 1l'5i5",or o? ,Jt...~ t.7I.J"'i 5~'t.?-11L-' " Legal DescriptionI

____ ~b~Z;~Z-=_~~=~~w~~rtf~5?t~----------------c----Assessors Tax Schedule Number

El Paso County, Colorado

I hereby acknowledge and agree to the following:

"Pursuant to Section 5.2.29 of the El Paso County Land Development Code, I understand that extended familyhousing is not allowed resulting in more than one house on a parcel ofland unless an affidavit is signed andrecorded in the Office of the El Paso County Clerk and Recorder whereby I as Owner acknowledge and agree thatthe extended family housing proposed as part of this development application and to be located on the above non­permanent living arrangements to house immediate family members whom are elderly, disabled, or demonstrate afamily need.

I hereby acknowledge that I have read, understand, and will abide by thf provisions of the El Paso County LandDevelopment Code, agree with the limitations contained in the County approval of my permit, and understandthat failure to comply with the El Paso County Land Development Code or the conditions of my permit may resultin enforcement actions which can result in enforcement actions which dan result in the necessity to secureadditional approvals or the requirement to remove the extended family housing. I understand that it is myobligation to advise El Paso County, through the Planning and Commubity Development Department, of anychange in family circumstances rendering the extended family housing unnecessary.

I understand that as owner I am responsible for maintaining compliance with all well permit or water useconditions or restrictions.

I understand the following definition applicable to extended family housing from the El Paso County LandDevelopment Code:

Guest HouseLodging attached to the principal dwelling or located within a garage or accessory structure which may beoccupied only by occasional, non-paying guests or visitors of the family rlesiding in the principal dwelling. Aguest house is no considered a dwelling unit. Extended family housing iJ a form of guest house utilized on a non­permanent basis to house immediate family members that require housing due to age, disability, or family need.A family member shall be related by blood, half blood or at law, and which term "at law" also includes in-lawrelationships arising for a deceased or former spouse. IThe extended family housing shall be removed within 3 months after the need no longer exists or 3 months afterthe date of the expiration of the permit, if one is specified, unless an application to legalize this use is submitted oran application to subdivide the property is submitted.

IN WITNESS WHEREOF, the parties hereto have hereunder set their hands and seal this 1 SM~ ,20~.

day of

OWNERSTATEOF __ ~C:~A~I~~~~~u~ _

COUNTY OF 51 p""", (I

Q V'(/\_Ownerfijtuce0?

The foregoing instrument was acknowledged before me this J '6 day of [Y)or~By J:?'nf\ ~. ~~I'- , COUNTY OF ~____:__\__--,-~_fx.) _

My Commission exPireft ~a.q-OD\C\~-h-C-)-------------------------------

20\~

BEN GAGNONNOTARY PUBUC -=

STATE OF COLORADO ':5-NOTARY ID 20114060597

MY COMMISSION EXPiRES 09/29/2019

til PASO COUNTY~LANNING AND COMMUNITY DEVELOPMENTl w.n:, ;2:01-10

Q!Wti BY, pli

SIJEEbAN ®o 10; JQ

Ll:6ALgeGISIPTION'."""""""1"1'01'11:.",..."".........-~~VH!a."*GC)1OW

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:'!Jnni( gandco~ UnityDevelopment.•ppm al iscont~ nt upon compliance""ith al applicablen teson the recordedplat,

).n ace sspermit m st begranted bythe,'Ianni gand Com unity Developmentt ngine ringDivisio prior to the establishment

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.uvers nof block geof anydrainagewayisleit pe mitted with ut the approvalofthe~Ianni gandCom unity Development

Anva proval give by EIPasoCountydoes, ~ EXI5TlNePONDnot o iatethene dtocomplywithapplicable C---__)FedE" ' Stateor cal lawsand/or regul,,-.ons, •

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