HomeMy WebLinkAbout2121 EAST HARMONY ROAD VERIZON WIRELESS POUDRE VALLEY HEALTH SYSTEM HARMONY CAMPUS MEDICAL CENTER - Filed MA-MINOR AMENDMENT - 2013-01-15City Of pokK
Comments Due By:
Minor Amendment
F6rt
Collins Planner
Effective Date 12
Minor Amendment Application Form - ZoningDepartment
p ent
Date Submitted: /V�AY 11 LOt2
Project Name: Vc.Rizart wt�t L� FTC SABE 2GryT
Minor Amendment Fee: $192
Project Location (Street Address
2-12( L. HAitMoNy Bonn Transportation Development Review Legal Description: Lor i'oupuf VA... Y U- LTH SYS-r
NARrNONYCAn�rycis MtD4GgL- CENTLR Fee: $250(when applicable)
General Information: List all property owners having a legal equitable interest in the proper
wner's Names : HGALT seaviGc DISTRICT OF NOtzT E'Kp p tJ (Attach separate sheets ifnecessary).
lJ1'hl A CC7U N +y
Street Address: C%a 375 Ebbw -FOOT#, p p
3 Icirn City/State/Zip: FORT wS Cr.
Telephone: 9 70 -zz t _.23;� �=� �5
Fax: -170- ZCV1-1 (048z
licant's/Consultant's Nam JgEj4 = Coar:E
Street Address: P o 13ox
Name of firm: CLa5�E� CcNsuLTING, LLC
N �.3
City/State/Zip: TNg _"MH, C0 A
Telephone: Cj7q 531 a i Fax: e17o-'7,1,.- ci5�
Email: �r�e.t rt�IGe Cd� c Moil crrn,
SUBMITTAL REQUIREMENTS•
1) Eight (8) 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 eight plans or provide eight copies of revised drawings showing the changes in addition to the
eight originals. ALL PLANS MUST BE FOLDED TO 8 1/21, X 11,,;
2) Completed and signed application form(s); and
3) Application fee of $192.00 (or $442 if Transportation Development Review Fee required).
MINOR AMENDMENT
Detailed description of the change and reason(s) for the request: yrjtjz�QN v%11,Z .Less Pa4000ss To nt, p,cv AN
S,X (&
L. H10MON Y AVAn
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 realproperty,
J- 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 as
necessary, for posting a public notice on the property. permit City officials to enter upon the property for the purpose of inspection, and if
Name (please PRINT):
Address: P 0 AdX 123 T'AURNAStl C U
Q
Telephone:_ c 70 531 • DLl 3 t
►� Signature:
281 N. College Ave, PO Box 580, Fort Collins, CO 80522, (970) 416-2745 F: (970) 224-6134