HomeMy WebLinkAboutFORT COLLINS SUPPORTIVE HOUSING 301 EAST HARMONY ROAD - Filed MA-MINOR AMENDMENT - 2008-10-017N.
rt Collins Zoning Department Comments Due By: 9- 30-0J-
ge Ave, PO Box 580 Minor Amendt}lent # /b D&000 f9 CO 80522 Planner_ fit/City of Port Collins 45 FAX (970) 224-6134 Effective Date G('- 30 pb
Minor Amendment Application Form
Date Submitted: Ser f -) S �
Project Name:
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Project Location (Street Address) Q '
nr ✓ Minor Amendment Fee: $192.00
Legal Description: 4 v��ca,�or"rz.bn�- n
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General Information: List all ropern• owners hantng a legal/equitable interest in the propert)' (Attach separate sheets tfnecessa, y).
Owner's Name (s): 4, ,r ,,,-7r �� f
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Street Address: h �iCi"+ L�..t�` _ City/State/Zip: %L�
Telephone: ✓�'G22 y6� i > '' cZ Fax: �� % 6'r'.S� C>'1 �/�
Applicant's/Consultant's Name: l F. 031 Name of firm: C.
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Street Address: '11.S�SZ:�? City/State/Zip:�L� `�•v
Telephone: yS ,F(a W,< i i Fax: ,!�S / r /5 n ryi Email:
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 ofS192.00.
MINOR AMENDMENT
Detailed description of the change and reason(s) for the request:
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 properly for the purpose of inspection, and if
necessary, for posting a public notice on the property.,
Name (please PRINT):
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