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HomeMy WebLinkAboutSOUTH SHIELDS SUBDIVISION - Filed MA-MINOR AMENDMENT - 2019-05-23Submitted: Comments Due By: Minor Amendment # MA180022 Zoning Facilitator: Musa CI g— Effective Date: 06/06/2018 THIS BOX IS FOR OFFICE USE ONLY Minor Amendment Application Form - Zoning Department The requested information on this application is required. Project name: Health Center Project Location (Street Address): _825 S. Shields Street, Fort Collins, Colorado General Information: List all property owners having a legal equitable interest in the property (Attach separate sheets if necessary). Owner's Name s : Arial Exploration and Production, LLC Street Address: 999 18th Street, Suite 1825 Telephone: contact Architect licant's/Consultant's Nam : Brett Miller Street Address: 1261 York Street Telephone: 303-480-5212 SUBMITTAL REQUIREMENTS: City/State/Zip: Denver, CO 80202 contact Architect Name of firm: Miller Design Works, Inc. City/State/Zip: Denver, CO 80206 Email: brett@millerdw.com l) The initial submittal and additional rounds of review shall be electronic (one (1) copy on a CD or Flash drive) of the site, landscape, elevation, etc. - whichever sheets are being altered. A Legal Description is required. Changes on each sheet should be clouded. Once all departments approve the proposed changes a Final Hard Copy will be required to be printed on 24"06" Mylar sheets. Please ensure the electronic submittal can be printed to scale on 24"06" sheets. 2) Complete and sign Minor Amendment application form and Transportation Development Review Fee application form (TDRF). The following link is to the TDRF application form: htt�___vvvv N.tc ;o".Cola �rr�.in��=.in , p,.li' 1 DIU-20I 2applicationtbrm.pdt'?1 365616099 3) Application fee of $350. Note: an additional $250 fee is required if the Poudre Fire Authority (PFA) needs to review the application. Typically, PFA fee is required for all changes of use, building additions and/or new buildings. MINOR AMENDMENT Detailed description of the change and reason(s) for the request: - Doors removed with brick infill to match existing. - New door locations. - Window replacement 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): Brett Miller, Miller DesignWorks, Inc. Address: 1261 York Street, Denver. CO 80206 Telephone: 303-480-5212 signature: Brett Miller a" =p=- 281 N. College Ave, PO Box 580, Fort Collins, CO 80522, (970) 416-2745 F: (970) 224-6134 Page is too large to OCR.