HomeMy WebLinkAbout107 W Monroe Dr - Minor Amendment/ Application - 01/26/1993PLANNING DEPARTMENT
APPLICATION FORM
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Project Name: 2S c z I �Z�
Land Use Information:
J Gross Acreage/Square Footage:
.Project Location Street ddress : �0 � Iwov 2o�
Existing Zoning:
Pro ect Description: e CY10 UP -8 fit c k
J PProposed Use:
I o eVL h ear(2- Total Number of Dwelling Units:
Today's Date: 2 Total Commercial Floor Area:
GENERAL INFORMATION: Applicant's Name: 11' `e �e-� �' �. Consultant's Name:
Owner's Name: fn► cl QQ Z-. Street Address: Q V1 JP Street Address:
Street Address: 3 g /2 Se, (%1c„ S`o J City, State, Zip: City,. State, Zip:
City, State, Zip: I, Qc I l FOU S, C, 86- Telephone: �� 3 ��� 2 Telephone:
TYPE OF REUEST
Please indicate the type of application submitted by checking the box preceding appropria a request(s). Combined requests require the combined individual fees.
Make checks payable to the City of Fort Collins. Starred requests (*) also require additional payment to Larimer County Clerk and Recorder in the amount noted.
Additional handouts are available explaining information requireinents for each of the following review processes.
Please sign cert{fication on reverse side 5/91
PU:D ADMINISTRATIVE CHANGE
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Description of the change and reason(s) for the request: .xe ed
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Planning
Action: �L
Date:
By:
Building Ins ection
Action: 19O6✓1`�
Date:
By:
Engineering
Action:
Date:
By:
Other (if applicable)
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CERTIFICATION
I certify the information and exhibits herewith submitted are true and correct to the best of my knowledge and that in filing the
application I am acting with the knowledge, consent, and authority of the owners of the property without whose consent and authority
the requested action could not lawfully be accomplished. Pursuant to_ said authority. I }hereby per mit_City officials to enter upon the
property for the purpose of inspection and, if necessary, for posting a public notice on the property.
Name:
Address:
Telephone: