HomeMy WebLinkAboutHICKORY COMMONS - Filed MA-MINOR AMENDMENT - 2019-12-11F6rt'Collins
Date Submitted:
Comments Due By:
Minor Amendment # MA180069 _
Zoning Facilitator:
Effective Date: June 27, 2019 _
THIS BOX IS FOR OFFICE USE ONLY
Minor Amendment Application Form - Zoning Department
The requested information on this application is required.
Project name: ff i tN�jb1 1 VV-d
Project Location (Street Address):
General Information: List all property owners having a fegar''egt 'table interest in the properly ("Attach separate sheets ijnecessaty).
wner's Name (SA. _ 114,
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Street Address: q60 N , (z UAL �11, , City/StateMp: 1t"� V I L+t,
Telephone: / O 22 JZ `7 Email:
licant's/ConsuRant's Nam : Name of firm: —WAA441 4
Street Address: _-i0$ Pyt City/StateMp: R. �l II w3 CO �v�2.,'
Telephone: )(o Email: _�^ QX-C 21 1 1&4-
SUBMITTAL REOUIREMENTS:
I) The initial submittal and additional rounds of review shall be electronic (one(]) 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:
https:,.l\vww.fc,fo�,,.comien.Oneerintr/pdfrTDRF2012applicationform pol'?1365616099
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 re uest:
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CERTIFICATION
1 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):
Address _ -�A Lod/ RT%tr J � � . C-1 jll
Telephone: 7� .116 7rj I Signature:
Ca�t•1� a
281 N. College Ave, PO Box 580. Fort Collins, CO 805
,(970) 416-2745 F: (970) 224-6134
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