HomeMy WebLinkAboutMVG-MORNINGSTAR LIVING AND MEMORY CARE - Filed MA-MINOR AMENDMENT - 2016-07-28[tins
Comments Due By:
Minor Amendment # M E} 1 t+o► 0 c/
Planner_ 9
Effective Date 7
Minor Amendment Application Form - Zoning Department
Date Submitted: to q
Project Name: V !,3( �l/1 p }1N(�ST>>�2 >Q'4S E STEb L-.Vtnl Ili
Project Location (Street Address): F O 9 L'0<'kw00 D DQ.. 7
Legal Description:
General Information: List all property owners having ale al/equitable interest in the property (Attach separate sheets if necessary).
Owner's Nam eT(s : CA99L-- 4 S , 1
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Street Address: '20 Yorz� sT 3�A 'EWaK City/State/Zip: VLVb0 Zn
Telephone: O'3 ^ 5q 3 - (, 9 Fax: 303. (oA . `,12-
licant's/Consultant's Nam ,QsSi irtf soul Name of firm: Luc
Street Address: 15o0 Yo e-*� S7 , 3R'p FL- City/State/Zip: 'D et4 az,p (.0
Telephone: Fax: '303. (� _ rJ 1 ? Email: �Yl�2t-QySon
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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 8 1/2" 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: t.Ig- V\r oy`z, I-,o t
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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.
yJName (please PRINT):
Telephone: Signature:
281 N. College Ave, PO Box 580, Fort Collins, CO 80522, (970) 416-2745 F: (970) 224-6134