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HomeMy WebLinkAboutCOLLINDALE GOLF COURSE CLUBHOUSE 1441 EAST HORSETOOTH ROAD - Filed MA-MINOR AMENDMENT - 2003-09-25Z�izl For Office Use only: ` Current Plannin artment Date Accepted % W �nn g [% Current Planning Filep b/ Minor Amendment Plant er�/,AFii yp .L Lffective Dam Application Form City Project Name: (_ I II l a�K_(� (' 1 ( t✓K Project La itakin (Street Address): Hoott Minor Amendment Fee: $192.00 Subdivision Name: General information: Use all prperry footers havinr�yy legaUq 11mble ime est in the roperty (Arrach separate sheen ifn¢esso Owner's Name n): F 1 (-II (gyp (, "P / X' C_`—i ry)' Street Addrees: �l fJ r I LF R A ` cuy/sboemp: l C� n l� 'rJGZ4 Telephone:_ 4'11-(, 3�0 s Faa: att-V,2r(r Applicant'c/Consultant's Name: A�I�O/1 D,,Lr, Nameufikare C�frlr✓ttJ� �IOa's �)( Street Aaareg.: cltyamtvzlp: _Ff rt)111r< L_OI g��� Telephone: Far: q](l -O ) 1) Four (4) copies of RECORDED plan (i.e. site, landscape, elevation - whichever is being altered) in 24"x36" size (available at the Technical Services Department at 281 N. College) - RED -LINE THE CHANGES ON THREE (3) OF THE C01i 2) Completed and signed application form; and 3) Application fee of $192.00, MINOR AMENDMENT Detailed description of the change and reason(s) for the request: IL_b CERTIFICATION ON REVERSE SIDE MUST BE SIGNED.a u EFFECI'I V E 4tg102 - UPDATED 1NA2 Current Planning Comments/Conditions: Zoning Comments/Conditions: s# f,., !in APPROVED ❑ APPROVED W/CONDITIONS ❑DENIED Date: FCas Hill N r 1, cry t— . Engineering UAPPROVED ❑ to PROVED W/CONDITIONS ❑DENIED Comments/ConditionS ,J Date: Other (if applicable) ❑ APPROVED ❑ APPROVED W/CONDITIONS ❑ DENIED Comments/Conditions: Date: By: CERTIFICATION I certify the information and e,h.b,. submitted are we it corten m the ben of my knowledge and that in filing ,his application. I am wing with the krmwleage, content and amhonly of the ownen of the property iioduding all 0ovot s having a legal or equitable intern in tee real pmpeny, a defined a Sermon 1 2 of the Ciry Code: which is the subs of tfin ,111r,l rsu) svahont whose consent and amlwdp the regn,smdx,ion should.. hwfnlly be naumplbhed. Pormarg as said aamonty. I hneby permit Cut officials to enter upon the popertyfor me purpose of inspection, and If necessary. for posting apublic laic, on the progeny. ;� r n Nam, (please Marne JAlly), l t f #O /r'I k J^ l ly)^ In f- ,