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RIVERSIDE SEVENTH 1540 RIVERSIDE AVENUE LOTS 13 AND 14 - Filed MA-MINOR AMENDMENT - 2010-10-29
City of Fort Collins Zoning Department Comments Due By: 281 N. College Ave, PO Box 580 Minor Amen ment # 49 i4 0 4 � 1'9 Fort Collins, CO 80522 Planner /Je-6, �U City of Fort Collins (970) 416-2745 FAX (970) 224-6134 Effective Date �-- l �--1y Minor Amendment Application Form Date Submitted: Project Name: L e4- 134—(`i Project Location (Street Address): I s zt o "r �(.� Minor Amendment Fee: $192.00 Legal Description: r.-.04 ( 3d— 1 c) 12 ,- Ve �� ; �(.. �` %r� ; `S ; oI-) General Information: List all property owners having a legal/equitable interest in the property (Attach separate sheets if necessary). Owner's Name (s): �`I'((�,_C �s� , (�� d— ©1 �,�,, F�rnfe,4 Street Address: 7 ] S _ n r� P 9 e- City/State/Zip: F4 _ :, ► .rC) pGsS z� Telephone: Fax: Applicant's/Consultant's Name: �rM cc -f- i�a Name of firm: l) i c' - ,— U Street Address: -PCB �, (8� `I City/State/Zip: F� 1� Telephone: _ Fax: _q(,_ 02—`-(((3 Email: �ocsE,�:..�� a oi'.r,L- SUBMITTAL REOUIREMENTS: 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 descript'on of the change and reason(s) for the request: �„� cs MW 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: �d (' Telephone: �( �- c(( Signature: