HomeMy WebLinkAbout1015 SOUTH TAFT HILL ROAD T MOBILE - Filed MA-MINOR AMENDMENT - 2015-01-22 (2)F6rCity
of Collins
Comments Due By:
Minor Am ndment #
Planner C
Effective Date �y
Minor Amendment Application Form - Zoning Department
Date Submitted: C,21 b f w /i i 1015 -STaf -j I� it eo( t�C�uvc1-
Project Name: bNO3&22D - le, All a,a El,za" 4 L�ff11
nn �I I � i1� Minor Amendment Fee: $192
Project Location (Street Address): f 015 S:T, T" T -. 11 Transportation Development Review
Legal Description: (Se e 5'e e r'ru f V 5 h eef &'-I-} C, Fee: $250 (when applicable)
General Information: lX �L"ist all property owners having a legal/eguitabl interest in the property (Attach separate sheets if necessary).
wner's Name (s : J car- v/ o o Gk f ) e, zc' L_L C 2 N P} 1
Street Address: 6 "--06) S . (;(,,� e,�„,� _ S # 3 0(�jCity/State/Zip: _ y ie-w.✓)od Cc, k0111
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Telephone: Fax:
[Applicant's/Consultant's Nam : CAV 1 5 5 e e y Name of firm: C
Street Address: 7 q 0) yQl t3JD' o City/State/Zip: —P� V, 6,4,CO
Telephone: 71 `],,f 71, 3,36 Fax: 303, 36-2 %()10 Email: CK'10��+'�►✓. r� �r 5S (� y(CG►vfJ.
SUBMITTAL REQUIREMENTS: p,4)
1) Eight (8) copies of RECORDED an (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 application form(s); and
3) Application fee of $192.00 (or $442 if Transportation Development Review Fee required).
MINOR AMENDMENT /I
Detailed description of the change and reason(s) for the request: 4v�
� l^ S i c: -� e'1(� 5 �i � cI /`t1d� �,. O C u �jq B�✓ �a1 G r'� N--at.,
CERTIFICATION
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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 publicnotice on the property. //
Name (please PRINT): C L'(-1( S S f 41 e "'
Address: 7901 E. /,9L/V/-✓ NVp1 #,300 , be--ri �� W- C10 f'p -3 o
Telephone: ���, �t t+ 3-36-5 Signature:
281 N. College Ave, PO Box 580, Fort Collins, CO 80522, (970) 416-2745 F: (970) 224-6134
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