HomeMy WebLinkAboutOLD TOWN NORTH - Filed MA-MINOR AMENDMENT - 2015-07-16F6rtCollins8�-
Minor Amendment Application Form
Date Su
Project Name:_ O L'h -t o w M Non Z N 11t `k-A 5
Comments Due By:_
Minor Amendment #
Planner
Effective Date
- Zoning Department
Project Location (Street Address): 1tc Lo'F oN i3Ayw. aTCLiET► O�oTu�w ►VozT►! S�3p+�►s+ow1
Legal Description: %- cnT S r,, - ► p M . 7. S , tt s c+-c -7 it L-o-r-S VA- ►3 -) w\ - '10 8�o cZ Q t otP t oc.aM ►VOT"
General Information: List all property owners having a legal/equitable interest in the property (Attach separate sheets if necessary).
Owner's Nam : PV4.SE T. t e �� �, - CLeVE SC-%Aa WXCIF
Street Address: _Co333 S , A v%v%My%s Dr City/State/Zip: Ev w a r ear^ C
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Telephone: 30j-t;lo -5393 F4W E.vha►��' c\ty�ov� �slclwno�'+\. Cow. ,
lApplicant's/Consultant's Nam 'UNt4A Vy� c �,n1pt Name offirm: � qh, R th t_ drX%pE No+N►e IZ1'w(.,
Street Address: _1 S 1 O A► L%. s► Q E n% V F City/State/Zip: ET- e- ram. S-► vy A, L n 00 S J A- 1 cil6ct
Telephone: 'il O- 2'2 2 -1 e y Fax: Email: Gow.cwsT V%4*
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 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: S E F n
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): Lam. ckv% e.
Address: I_S 1 o 1-4 \\ 0'.
281 N. College Ave, PO Box 580, Fort Collins, CO 80522, (970) 416-2745 F: (970) 224-6134