HomeMy WebLinkAboutBUCKING HORSE FILING ONE - Filed MA-MINOR AMENDMENT - 2015-07-07 (2)City of
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Collins
Minor Amendment Application
Date Submitted:
Comments Due By: i a as •i 4
Minor Amendment #
Planner
Effective Date l�
Form - Zoning Department
Project Name:_ 1i uale,ttG Nd LIS PAt_INsi 1
Project Location (Street Address): Irle,Lr2-lyre Rb afuu v is.�... uer
Legal Description;
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General Information: List all property owners having a legal/equitahle interest in the property (Attach separate sheets if necessary).
Owner's Name (s • uclttaJG_�jp�S` Rl1t11r t.r
Street Address: _'13 v'1 k''iss 4►tt1! �tlt.. City/State/Zip:
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Telephone: ". �q, g&tDe Fax:
pplicant's/Consultant's Nam : _)RAL*N �dlt Name of firm: g15is tlL __
Street Address: y�..rs�rrtu► Syr. , &4 City/State/Zip:
Telephone: q3a, IL -I Igene Fax: Email:
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_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:
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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): RpL,pw SN1GI.ps
Telephone: ol-k �.S'l.lAoe 'Ignature:
281 N. College Ave, PO Box 580, Fort Collins, CO 80522, (970) 416-2745 F: (970) 224-6134