HomeMy WebLinkAboutBLOCK 164 LOT 8 430 WHEDBEE STREET - Filed MA-MINOR AMENDMENT - 2011-03-30City of
Fort Collins
Comments Due By:
Minor Amend m nt # AA I t o r;, I p
Planner C P�-
Effective Date -3 -al- 6t
Minor Amendment Application Form
Date Submitted: rtv i 4 ,, o , S 3 - 9-9- 1 /
Project Name: LI30 caked bee S} - -Sivyi Sau Ihl er
Project Location (Street
Address): I SO Whedbee 61, Fort Colli►as. CO g0521 Minor Amendment Fee: $192.00
Legal Description: W $0 F r OF 4_0'* $ . $LX j&gr0_
General Information: List all property owners having a legal/equitable interest in the property (Attach separate sheets if necessary).
Owner's Name (s): SQtMeS SatAlvli er
Street Address: y 3 0 Whed be a S} City/State/Zip: Fort Co ll i 'v15. 0-0 000 52-f
Telephone: g 10 - 2 17 - $ (0 f LI Fax:
Applicant's/Consultant's Name: hW 1'Qk J SAI le r Name of firm: _) 1 Cr4� guildtrs, Ivic.
Street Address: 2 Q $ Note e5 Si- City/State/Zip: Fe r� i�t t✓tS� CO $ 0 5 2-
Telephone: gJ-0- 19100 Fax: 970- 2-U&-$2GZ Email: .ne�
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:
L) 7—a o k., 5 r- ( /) 4 _—J i i a,
e FF� C IL,
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): Dk SA t ler
Address: 4 3o W b e_ S } For + Cod i vls CO $ O5 2 J
Telephone: __'70 - t( 7 2 - $ 100 Signature:
281 N. College Ave, PO Box 580, Fort Collins, CO 80522, (970) 416-2745 F: (970) 224-6134