HomeMy WebLinkAboutBUCKING HORSE FILING TWO - Filed MA-MINOR AMENDMENT - 2015-06-26F6cityt Of F
Minor Amendment Application Form
Comments Due By:_ ±1 2- { 3N
Minor Amendment�(D _
Planner
Effective Datew j
- zoning impartment
Date Submitted: io " 1 (n ' j y
APPROVED 12/18/2014
Project Name:
Project Location (Street Address): A 7Ud :n W c, tm,,A N Ock-0(�ic O-3A WET
Legal Description: I 4y,l Sir v,ti rk t Ek Ll n' tt/u/ Z 9x.--s 001 6 F,�,•� Z
General Information: List all property owners having a legal/equitable interest in the property (Attach separate sheets if necessary).
wner's Names : Z7 R How
Street Address: Q `� Y,,Q9•, C+ �e:_op _ City/State/Zip:
Telephone: �3- - y8& 6061 Fax.. „3- q88 -Ozo6
pplicant's/Consultant's Nam —c c Name or firm:
Street Address: CA ` -,% City/State/Zip: ;„ ,�,_,•�, _�� t^r, chi ►z
Telephone: -7557y- uq Fax: Email•,♦r;ca
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 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 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: L� r ,-E, cg c:-a
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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. 1 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): t= roc _ .i I� citi d
Address: oi-7GIC W.'? I C'rII i
Telephone: 03- 7514- 3,31449 Signature
281 N. College Ave, PO Box 580, Fort Collins, CO 80522, (970) 416-2745 F: (970) 224-6134