Page 1 of 2

Chuck Broerman0512012019 11 :57:49 AMDoc $0,00 3Rec $23,00 Pages

El Paso County, CO

I 111111 11111 11111 1111111111 11111 1111111111 111111111 1111

219053727

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

FOR RECORDER USEONLY

AOV\.IQ33File No. t:t:l.c 1,8 z;k '?1.,

J, __ -.J=_::o~~-=---V\.L__j.,'t.~.--,-N....::!_~o--r-=-_::·+-O--=~~------,owner (or oLer's agent for ,)

EXTENDED FAMILY HOUSING COMPLIANCE AFFIDAVIT

have applied for approval of extended family housing for the purposes of ~<-4{ ~ b c:lw-J.l. ~(description of family circumstances)

-W- cL,J~ ~ .,.._{+- '>0......, __ ,under development application

ALI~~number ~ L tJ '9 ,being duly sworn on oath, deposes and says:

I, 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:

5 ~ f!-T0-- w ,as FT" brEf Il~ ff 01"- ,Jt-5 t.71.1"t 5ttA?-I1 ..-' , Legal DescriptionII

___ --'b~·_::z.;=--=Z-=__2@.£...e"_'~*"7~~(j{..,----,,$?f~--------------'-----Assessors Tax Schedule Number

EI 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, Iunderstand that extended familyhousing is not allowed resulting in more than one house on a parcel of fund unless an affidavit is signed andrecorded in the Office of the El Paso County Clerk and Recorder whereby Ias 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.

Ihereby acknowledge that Ihave read, understand, and will abide by tJe 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 can result in the necessity to secureadditional approvals or the requirement to remove the extended family housing. Iunderstand that it is myobligation to advise El Paso County, through the Planning and Comm~ty Development Department, of anychange in family circumstances rendering the extended family housing I~nnecessary.

I understand that as owner Iam 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 residing in the principal dwelling. Aguest house is no considered a dwelling unit. Extended family housing is 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.

I I

The extended family housing shall be removed within 3 months after thJ 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_fi.

day of

OWNERSTATE OF _ _jC'--""lAL.JI~~~=:!!!_jc)"'__-------

COUNTYOF __ ~eJL+~e~~~~d~ _

~ V'A-Owner ~ture~

The foregoing instrument was acknowledged before me this J <6 day of Morc.lA,COUNTY OF "'C\._ ?>.f:O

I

20\~

My Commission exPireft rd.(\. .OD\'1~-i-lC-)-------------------------------

I BEN GAGNONNOTARY PUBUC ~~..

STATE OF COLORADO S­NOTARY 1020114060597

MY cdMMISSION EXPIRES 09129/2019

t:: . I./ rre.,.,f', I\..., V\( S I

ihJ)---- (2~: -t-I"~ kI~B ......... • s:..,...., -- 4",,>,,-+- .. l:t c:;-

RID6EWA'l' LANE~ ......

ilTE ELANo 10 ;

~~U" ?t.o_-

I'tfJ,~!>'"".:J ~J II.~ I

III

--~- - - t~"-h- --

.,.., EXIST1NO... LEACH FIELD

'Iannir~nd Co unityDevelopment"ppru al iscont~ nt uponcompliance""itl1 al applicablen tesonthe recordedplat.

\n 3CC 5Spermitm stbegrantedbythe··Ianni gandCom unityDevelopmenttngine ringDivisio priorto theestablishment:Jf any rivewayon

.»vers n of block eof anydrainagewayislut pe mittedwith ut theapprovalof the.'Ianni gandCom unity DevelopmentEngin eringOivisi n. ~

;'l.nya provalgive byEIPasoCountydoes. EXISTINOPONDnot o iatethe ne dto complywith applicable

callawsand/or regul,,·,ons.

BESQCP Not Requiredby ~ on 5!ll\'0j

CfL PASO COUNTY~LANNING ANDCOMMUNITY DEVELOPMENTl QM1!, £OI~I&

p!!N<f10)", !2J1

M"'__~P.~:J4'5T1 olot e.-.......t..__y.....'" 4 '"' -...........j r-all '..7.# G. U-) O(J (J If$ "J

,~, t....;_c.

,4..t.)---,," t~~; 41 J.r4 otct ~~~ I...t,~,. IX '" ....LA-f"

~ t;U-~ rJ ~ " (d 5">

t4-.A. ~ ll- ('4IJ"'~:.:tl"'\ ~ 0'1'1 ~~I _...._ S cL.. .-.1e.r

,. t.O t..t...:> 01~ a o >-?_

5-1

Check No.

EL PASOI I

ObUNTY1

I

Receipt for Fees PaidPlanning and Community Development Department

2880 International Circle, Suite 110, Colorado Springs, Colorado 80910Office (719) 520-6300

Customer: JOHN NORTON4145 RIDGEWAYCOLORADO SPRINGS,CO80908

Date 5/20/19

Receipt No. 522265

Processed by DO

IPayment Method cc

Item Description Frefix Type Rate Qty Amount

K12 Affidavit (1st page) to include Clerk and Recorder Surcharge 13.00 13.00

K13 Affidavit (each additional) II 5.00 2 10.00

1 CUSTOMER NAME: JOHN NORTON 0.00

2 PROJECT NAME: NORTON FAMILY GUEST HOUSE 0.00ADU19-33

I4145 RIDGEWAY

I

I

I

Receipt for Fees Paid [14040 I-OOOOa1I Total $23.00