HomeMy WebLinkAbout626 Agape Way - Minor Amendment/ Application - 10/25/1993City of Fort Collins
Project Name: ----'AWP `Uft l 1'�- PL1. J�) .
Project Location (Street Address): - 62Z4�! l 42Z LAY
Project Description: '-Q"Lz: FA-L t "�4 PE��
Today's Date: le>(?s� fez7=,
PLANNING DEPARTMENT
APPLICATION FORM
Lana use iniormation:
Gross Acreage/Square Footage:
Existing Zoning:
Proposed Use: _
Total Number of Dwelling Units:
Total Commercial Floor Area:
GENERAL INFORMATION- Ust all ownen having a lagd/equitable
iNaesl in the promerty; Applleant's/Consultant's Name: �� 1� QWI A �
Owner's Name(s):�MA44 Street Address: 54rv1�
Street Address: PICA Rt. XJ City, State, Zip:
City, State, Zip: f5 Cl -L_l as t CJD Telephone: ZZl -d�7"77 Telephone:
Please indicate the t of application submitted b checking the boTj preceding OF REQUrESeTst s .Combined
type PP Y g P g appropriate q () 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 requirements for each of the following review processes.
Certification on reverse side must be signed „93
PUD ADMINISTRATIVE CHANCE
Description of the change and reason(s)for the request:
Action: _BV-9 vc
Date: / - S - 3
By:
Building I e
Action:
Date:
By:
Engineering
Action:
Date:
By:
Other (if.pplkabk)—
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CERTIFICATION
f�`aI certify the information and exhibits submitted are true and correct to the best of my knowledge and that in filing this application I
rn acting with the knowl#dge, 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; and including common areas legally connected to or associated
with the property which is the subject of this application) without whose consent and authority the requested action could not lawfully
be accomplished. Pursuant to -said authority, I hereby p rty official ter upon the property for the purpose of inspection and,
if necessary, job posting a public notice on the property.
Name: j
Address:
Telephone: