HomeMy WebLinkAboutAgricultural Employee Housing AffadavitGørfield County
ÄGRJCULTURAL EMPLOVEE AFFTDAVIT
l'OR EMPLOYEE HOUSING
l, Elizabeth Considine {Carbondale Corpori¡tion) 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 f'arm for production of poultry, lìsh, furbearing or other small animals, as
prescribed in the Garfield County Land Use and Development Code. I further slate that
the residential structure is located on Agricultural Land defìned in Article l5 of thc
Carfield County l-and tJse and l)evelopment Code .
It is agreed that proof of employment, in the form of lnternal Revenue Service Forms
Vl-2 or 1099 for each person employed as described above will be submitted to the
Carfield 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, rcvocation of this status, and fines allowed by law.
It is agreed that this properly will not be sold to another parly without representing that
the agricultural employee dwelling strucfure is for agricultural employees only and may
not be used for any other purpose.
Property and Building Description:
Address 531 153 County Boad
Assessors Parcel l\ umþe¡ 2463 1 220A027
Building Desripti on Barn Renovalion
Building Squ are Feet f-labitable 3,145 GSf buildinq; 12s SF proposed steepinq ouarlers
Building Permit Number BLCO-03-1 7-4597
ISDS (Septic)Permit Number SEPT-o3-1 7-4598
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(Sigrature)
C)wner 4582 S. Ulster
l)ate
Witness
This form will be recorded wilh the Carfield County Clerk and Recorders office as
reference for any fulure title searches.
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