HomeMy WebLinkAbout315 WEST OAK STREET OPEN RANGE BLOCK 92 ROCKY MOUNTAIN BANK - Filed MA-MINOR AMENDMENT - 2010-06-04city of
Fort Collins
Comments Due By:
Minor Amendmint # - „ 1
Planner =
Effective Date "o " �'
Woompow—
M r Amendment Application Form
Date Submitted: t I vc `"
a�t�
Project Name: C"� o�qb / —
� r�� Minor Amendment Fee: $192.0
Project Location (Street Address): -
Legal Description: -1 ( 4
ist all property owners having alegal/egluit� le interest in the property (Attach separate sheets if necessary).
General Information: ��, -
Owners Name (s): htt,t-r
S W U e� City/State/Zip:
Street Address:
Telephone: ql"
cb Fax:
Applicant's/Consultant's Name: Name of firm:
cMrr,nlP�ti City/State/Zip: t4�Ini r l
Street Address: 1�� CIO it _ Email: Samoa f�l0utv� �� Cln
Telephone: �1�" CN6—) - �
Fax: N! �q-
SU_ AL REQUIREMENTS:altered) on
Six (6) copses of RECORDED sitelandscape, elevation, etc. -whichever is being R
1 plan (i.e. , N. College)ED-LINE
24" x 36" size (usually available at the Technical Serves ofices re
rev sed drawingsepartment at lshowing the changes in
THE CHANGES ON the six plans or provide six cop
addition to the six originals;
2) Completed and signed application form; and
3) Application fee of $192.00.
MINOR AMENDMENT s h
Detailed description of the change and reason(s) for the request. i n1 !
MOW
EPA,
Ira
CERTIFICATION
property including all owners having a legal or equitable interest in thde recall property,
should not
certify the information and exhibits submitted are true and correct to the best of my knowledge and that in filing this applicatioand authority the n, 1 am acting wit
Y
the knowledge, consent, and authority of the owners of the prop y withou
defined in Section 1-2 of the City nodee;s di authority, subject
herebytof this application)
City ion) ass totentersupon the tproperty for he purpose of inspection, and if
lawfully be accomplished. Pursuant
necessary, for posting a public notice on the property • rC `�
t
Name (please PRINT): t V r (��y/� cc
Address:
Telephone: v �✓ �
Q 13, IS('" Oc�ALA 3 __Signature:
281 N. College Ave, PO Box 580, Fort Collins, CO 80522, (970) 416-2745 F: (970) 224-6134