HomeMy WebLinkAboutPALMER DESIGN CENTER PIT LANDSCAPE CHANGE POTENTIAL CANOPY LOT 1 3600 MITCHELL DRIVE - Filed MA-MINOR AMENDMENT - 2011-07-20City of � Comments�-��
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Minor Amendment #
Planner p
Effective Date /
Minor Amendment Application Form
Date Submitted
Project Name:_ 1,,, Pr _��
Project Location (Street Address):
nn L Minor Amendment Fee: $192.00
Legal Description: . IT��f,� C /Ei fan *a C%�� �--7 C`t`S,
General Information: List all pro erty owners having a legal/equitable inter st i the r perty (Attach separ te�sheets if necessary).
Owner's Name (s): __Tc. _, mac c j ,� Q G M
Street Address: City/State/Zip:
Telephone C3 2Yn Fax:
Applicant's/Consultant's Name:
Name of firm:
Street Address: City/State/Zip:
Telephone: Fax:
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 of $192.00.
MINOR AMENDMENT
Detailed(�__description of the /change and reason(s) for the request: ,
1
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
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
lawfully be accomplished. Pursuant to said authority, I hereby permit City officials to enter upon the property for the purpose of inspectionnot
, and if
necessary, for posting a public notice on//the
property.
Name (please PRIM): PtfK
Address:
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Signature: _A/(_
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281 N. College Ave, PO Box 580, Fort Collins, CO 80522, (970) 416-2745 F: (970) 224-6134
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