HomeMy WebLinkAbout4366 SOUTH COLLEGE AVENUE OPEN RANGE - Filed MA-MINOR AMENDMENT - 2010-06-03city of
Fort Collins
Date Submitted:
Project Name:
Comments Due By: G i p- ,?, o ro
Minor Amendment # _ i! �/ I J am n W)
Planner 4r C, /'? r �_--
Effective Date t. z s. z o, o
Minor Amendment Application Form
N
Project Location (Street Address): J UG St Minor Amendment Fee: $192.00
Legal Description:
General Information: List all ro erty owners having a legal/eq itahle interest in the property (Attach separate sheds 'necessary).
Owner's Name (s): (j G1 17oAli I l Y✓I T\ %u"�`l, &kC d„+ _W - I�ACc _T6urlT Cc✓P 1
Street Address: _�� j'y'l j vbe S+. �w � 1 City/State/Zip: — �1U-(- �p �a05
Telephone: Fax:
Applicant's/Consultant's Name: ���_ �Ot%It'1 Name of firm: W WI(665
Street Address: - �!( l�( �l City/State/Zip: L�LJJ `f ili C6 116
Telephone:a 3 r2n " -t'L Fax: �� Email: k-WV10
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: 6*X417 C.r S 2/)46r�0( ;; Q
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):
Address: 161 W q—.
Telephone: 011_ 3- %-0-
Signature:
\Jlam. C6 9Su
281 N. College Ave, PO Box 580, Fort Collins, CO 80522, (970) 416-2745 F: (970) 224-6134