HomeMy WebLinkAboutMIRAMONT HEALTH OFFICE BUILDING DRAKE PARK REPLAT LOT 1 - Filed MA-MINOR AMENDMENT - 2014-04-08 (2)Zoni r<g
City o ���� Comments Due By
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Minor Amendment # F6rt CoWns �� Planner 0
Effective Date
Minor Amendment Application Form - Zoning Department
Date Submitted: IV — W u —2W• W
Project Name: M ira k v nl-
Project Location (Street Address): 3 Its brae ;� pi
Legal Description: FArCA 15 °�-11ro 12 0 00 ( A Nd qh 261 Zf 0l O
General Information: List all property Ov►ters hawn a legal/equitable iyWt!rest in the property Anach separate sheets if necessm3).
wner'sNames : M-;raibtVhk 4Eer4 Cs(!'ks, L.lil� l5tt a ,.uC r PrALC Owns.rs Ass
Street Address: 9614 Snow Mesa Or 1qe' City/State/Zip: /�i�►1t . o 903726
Telephone: irso3) °I 6 °i ' 225? Fax:
llcant's/Consultant's Nam : �te� Bet7A✓ Name of firm: Lr`Olut ��Sr q
StrectAddress: 40l W. l'►dsuAkld /Eire 410o CltylState/Zip: J�trt`'C•��i�Sa 64P 130
Telephone: q7D SlAf. 51 Z& Fax:
SUBMITTAL REOUIREMENTS:
I ) 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 81/2" X 11";
2) Completed and signed Minor Amendment application form and Transportation Development Review Fee
application form.
3) Application fee of $350 ($192.00 Minor Amendment Fee plus $158 Transportation Development Review Fee).
Note: an additional $250 fec is required if the Poudre Fire Authority needs to review the application.
MINOR AMENDMENT
Detailed description of the change and reason(s) for the request:
(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): Brt m+ t�1o'ti'�0',r� — — —
Address: q(o ( W__ Y rt'► � '4 /(r o
Telephone: 1 -70 2Zy. 5124 Signature:
281 N. College Ave. PO Box 580, Fort Collins, CO 80522, (970) 416-2745 F: (970) 224-6134