HomeMy WebLinkAboutMOURNING SECOND - Filed MA-MINOR AMENDMENT - 2014-10-08 (2)City of Fort Collins Zoning Department Comments Due By:
281 N. College Ave, PO Box 580 Minor Amentnent # �'rtA d y l _3
Fort Collins, CO 80522 Planner Attr,
ty (970) 416-2745 FAX (970) 224-6134 Effective Date / L 1(� .pt�
rt Collins Ci of Fo
Minor Amendment Application Form
Date Submitted: �} � �/io1C��J/�-�-0 `t AJ_V-14�
Project Name: SS
Project Location (Street Address): l� w,/-;�r-►l(�S I�kwY Minor Amendment Fee: $192.00
Legal Description: -M' A' 0-&0L P-K.,1#J6- S lt9G -Zz1
General Information: List allproperty owners having a legal/equitable interest in theproperty (Attach separate sheets if necessary).
Owner's Name (s): C..
Street Address: 33-7 S" 6A,,TGUL City/State/Zip:
Telephone:
Fax:
Applicant's/Consultant's Name: \:�)Po Q> Name of firm: A �_TT 1vc Fl iN'C-S s
Street Address: 20C)Ts w, NUJY City/State/Zip: (t- (.CT(U) M S
Telephone: Q 7b-ZZ2—t.-1 9'7 Fax: Email: To>•A'col k,,-A (r,) cc*
G9-696e1 kg3031)-0)
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.
Detailed description of the change and reason(s) for the request: C� aNG�,��- `3�-�� �mi�z,- L t E
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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 notice on the property.
Name (please PRINT):szt
Address: I
Telephone: 9P0 - zz-z- 47 17 Signature: