HomeMy WebLinkAboutMATTERHORN PUD 7-ELEVEN 3531 SOUTH COLLEGE AVENUE - Filed MA-MINOR AMENDMENT - 2011-03-11h
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Comments Due By:_ 3 • d - I I
Minor Amendment # ►tit (t 000 t,r _
Planner Isle $
Effective Date - 10- ( /
Minor Amendment Application Form
Date Submitted: 1 f;5 edm. d- - (6 -
Project Name:_ ` / Uj XQ Y
Project Location (Street Address): Minor Amendment Fee: $192.00
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Legal Description: A� (Iip7A-t Palo �—
General Information: L' t all property owners having a legal/equitable interest in the property (Attach separate sheets if necessary).
Owner's Name (s): tyt4,1ouZ4:1, L Z ��--•
Street Address: — 3co Z� Ha-r r aAA—Pd City/State/Zip: l'�1 �' ,� co �(� So
Telephone: _ % - aaLQ—I TOO Fax:
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Applicant's/Consultant's Name: Ai l C A 94ull (" 4-r Name of firm: r% - �e ✓Cn� nC .
Street Address: S-�O QU S (r}, n C S { , 'SU L* D06 City/State/Zip: jrAye t I / j
Telephone: 1070 07l S - Q8U 1 Fax:
1) Six ,0 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: CD�'1,11,
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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): A I
Addres_
G
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Telephone: a73- 9 O y I Signature: I O-A Q
281 N. College Ave, PO Box 580, Fort Collins, CO 80522, (970) 416-2745 F: (970) 224-6134
WEST NOR ETOOTH ROAD
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