HomeMy WebLinkAbout1133 RIVERSIDE AVENUE CLEAR WIRE FRIES MINOR SUB - Filed T-TELECOMMUNICATION PLANS - 2011-05-17 (2)F6rt of
Co[Yunents Due Bv:_
Minor Amend nt # � ET
Planner
Effective, Datc_�_.r-_5��
o in
Minor Amendment Appl
Datication Form
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It m[tted:-- rL�
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Project Name:_ -- -------
Project Location (Street Address): _ --
Legal Description:
Minor Amendment Fee: $192.00
General Information: List allproperty owners having a legaLl, tritabl interest in the property (Attach separate .,h,ets i
Owner's home (s): _����-_�w.�i< ' . qy
s C!!p / /iN�lft�LR�IJ 1 necessary),
Street Address:v w
----_� _ •� 7`'� /f % Telephone: ____ Cit3'�(atelZip:
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..w.�Q.._ Far.
Applicant's/Consttltant's Name:---((1c y loTe 014pret
Street Address: Nance of firm:
Telephone:l
__ City/StateJZip: t� ----____
s2.f- tea.✓
Email: V11ii d /,•�,� e
SUBA111"1'AL Its t1I1tEAi)uNT.�i ac - CdA,
tt I) Stx X copies of RECORDED plan (i.e. site, Landscape, elevation, etc. -whichever is being a1
l� j'!7" 2�' x'36" size (usually available at the Technical Services Dep•utment at hi e e_.
THE CFIAIVGF.S ON the sic plans or provide six copies of revised drawing altered) an
College),__teRED LINE
addition to the six originals; cs showing the chances in
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:
arc C. M 0r` i , -n i
t certify the information and exhibits submitted are. true and CERT)1� AT IO.N tiledae and that cat filing this a lie '
the knowledge, consent, and authority of the A arcs of the correct property
on.
defined in Section 1-2 of the City Code; which is the subject of this application) without whose consent and authority the Gr nested a am acting with
P p= y (including all Owners having a legal or this
interest t the real property, h
lawfully , arposting ac�l. Pursuant to said authority, I hereby pertnit City officials to enter upon tha property for the purpose of inspection, and if
necessary, for posting a public notice on the property. Gaon ion, d not
Name (Please PRINT c rd,4 Ale
Address._—.? = _ 1l I_,r _A
' %i 2- O 7 ? _---- Sit;nature:__4� 11'e Cr /_ _ .
28I N. College ,Ave, PO 13ox 580, Fort Collins, CO 80522, (970) 416-2745 F: (970) 224-6134