HomeMy WebLinkAboutVALLEY FORGE CHINESE CHURCH PROJECT 2140 VALLEY FORGE DRIVE DAY CARE TO CHURCH - Filed MA-MINOR AMENDMENT - 2009-06-26Fort Collins
Comments Due By: .0 A v lit, 0 0 -77
Minor Amendment # / Cc el
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EffectiveDate
Minor Amendment Application Form
Date Submitted: 4jd:'C/4 3, 1 OC>9
Project Name: 4flWN054-0 PRo✓ECT
Project Location (Street Address): 2 bV0 VA I- L EY roRGc— Minor Amendment Fee: $192.00
Legal Description:
VAtL.Ey �R�E' P. v.D. / RAC-T- a
General Information: List all property owners having a legal/equitable interest in the property (Attach separate sheets if necessary).
Owner's Name (s): 'P/ C- T/ LTD
Street Address: C o PiI-�D{-,o; 0 2 2 Fl/ �• 8o i /Staot� ip: S C awL�/� o CAq Z2I y� d b6
Telephone:
Fax:
Fvxr C'trlNESE
Applicant's/Consultant's Name:► Name of firm: C—VXA1Z7e eA L FR•J0.E 4:2 c '2GH
Street Address: 272 41 l LARE•�-sowT �i� City/State/Zip:
Telephone: ZoV - � SE. Fax: NA Email: cc cavye vn q �a/t,�ioa .
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SUBMITTAL REQUIREMENTS:
1) Six (6) copies of RECORDED plan (i.e. site, landscape, elevation, etc. - whichever is being altered) on
24" x 36" size (usually available at the Technical Services Department at 281 N. College) — RED -LINE
THE CHANGES ON the six plans or provide six copies of revised drawings showing the changes in
addition to the six originals;
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: C11AN01AJ4 FReV4 PREI/��d s
/),dV GARE AND ✓ACAAIT TD A G.yv¢GH
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CERTIFICATION
I certify the information and exhibits submitted are true and correct to the best of my knowledge and that in filing this application, I am acting with
the knowledge, consent, and authority of the owners of the property (including all owners having a legal or equitable interest in the real property, as
defined in Section 1-2 of the City Code; which is the subject of this application) without whose consent and authority the requested action should not
lawfully be accomplished. Pursuant to said authority, I hereby permit City officials to enter upon the property for the purpose of inspection, and if
necessary, for posting a public notice on the property.
Name (please PRINT): .PA ✓/.O ,Qv
Address:
46
Telephone: ' ZO �� 7d ` Signature:
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281 N. College Ave, PO Box 580, Fort Collins, CO 80522, (970) 416-2745 F: (970) 224-6134