HomeMy WebLinkAboutRIVERSIDE SUBDIVISION THIRD FILING REPLAT LOT 11 - Filed MA-MINOR AMENDMENT - 2012-03-09City of
F6rt Coltins
Comments Due By: '01� 4 •
Minor Amendment # A
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Effective Date
Minor Amendment Application Form
Date Submitted: S
Project Name: �T-
Project Location (Street Address): - b
Legal Description: Pi Le i
Minor Amendment Fee: $192.00
General Information: List all property ow rs ing a legal/equi�le interest in the property (Attach separate sheets if necessary).
Owner's Name (s): C,�qV P C p7 ^_� 0 S j—r— e!� I (! , t ,1 5
Street Address: Q5, ev 5 -t' 2 dJ2 City/State/Zip: i,v5
Telephone: oa3—0774-6 Fax:
Applicant's/Consultant's Name: - dtW+6 ame of firm: L rcHvzc/t+
Street Address. — City/State/Zip:
Telephone: Fax: Email: � �? �Y'� I�iS/L', CC
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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 signe ation form; and
3) Application fee of 92.00
MINOR AME MENT
Detailed description of the change and reason(s) for the request: CA'1qn/Ge_
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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 ngtice on the property.
Name (please PRINT): %%�/¢'�j ' `j �,4 i
Address: 0Us6 , /� T•{�/i / /
281 N. College Ave, PO Box 580, Fort Collins, CO 80522, (970) 416-2745 F: (970) 224-6134
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