HomeMy WebLinkAboutWOODWARD TECHNOLOGY CENTER - Filed MA-MINOR AMENDMENT - 2015-01-09City of
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Minor Amendment Application Form
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Minor AmenPlanner
Effective Date / 3 V 0 AV'
- Zoning Department
Date Submitted:_zz le /Zp f 4-
Project Name: O o D \
Project Location (Street Address): D �✓ L{ /,yj�j-� '77 % , &✓I 1p
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Legal Description: (lD�- l , U%f pdWj(,rG� "%PG D 0
General Information: List all p oper7oers having a legal/eguitablt'interest in the property (Attach se'arate heels if neyessary).
wner's Name (s : b0 G(G A TNiwOL / f �it2�lop l
Street Address: 36 n l/bGY� V5 City/St to/Zip: �,P0141Jjdl3Z-
Telephone: �� Fax: '
pplicant's/Consultant's Nam Name of firm• �/- eO /
Street Address: 0 City/State/Zip: - !✓� /�Z�-
Telephone: --27�? �% Faz:i3 Email: Gl�'%1/lPiN/Si t0/j, .L4
SUBMITTAL REOUIREMENTS
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 81/2" X ill';
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 fee 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: -_T' 4y-
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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. /
<1 Name (please PRINT): � ((+��w<,,A , IVA,SAG
Da� Address: a
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Telephone: ?i2?j % Sig nature:
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281 N. College Ave, PO Box 580, Fort Collins, CO 80522, (970) 416-2745 F: (970) 224-6134