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RECEIPT
CITY OF FORT COLLINS
COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
281 N. COLLEGE AVE
970.221.6760
PO BOX Sao
970.224.6134-tax
Application !# : BMISCI I0057
Project Name (Subdivision) : T-MOBILE WTF - 3519 RICHNOND DR
Application Type : Building / MiS / General / NA
Receipt No.: 159366
Payment Method Ref Number Amount Paid Payment Date Cashier ID Comments
Check 1957706 t4,002.00 01/31/2011 09:15:55 AM SLINDELL T-MOBILE WTF PLANNING & TOR FEES PD BY T-MOBILE CK#1957706
Owner Info.:
Work
Description:
,5 t-i \\ o w-e-5 44-1 fo � � S
POP PLANNING FEES ($3,887), SIGN POSTING FEE (f50) TRANSPORTATION
DEVELOPMENT FEE ($65) ALL FEES PAID BY T-MOBILE CK#1957706
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EQUIPMENT (NEW RGILIM REW
P* f&'Mwft W~U h ►eg ftd to be aubmffted, tm)m wafer wph all applatta. AtW Rem waMW
mtnt be dated and fnttfated by a planter wkh fhe 00 of Forf Go&& Community Dew*wienf and
N&6hborhood Sere m Department.
Application form, U887,00 filing The (plus .75 cents for each APO rebel), and $50.00 sign poeting fee.
Aoolicetiatl ��>�tintlf # 65. oo
Transportation Development Review Fee — please contact Engineering at 121.0805 for
Information, M Fees nd Aa Won,ttdf
M/ T1ao (2) lists of names and address of all owners of record of real property within at least 80V of the
,.property lines for the parcel on which the project is proposed, exclusive of public right"t-way. One (1)
list typed on mailing labels and the other list a reproducible copy of those labels.
et CoL"�-AoU
Legal description. of property (2 copies) on 8 %* x 11' sheet.
W Planning Objectives (10 copies)
51 Architectural Elevations (5 copies - folded)
6i Site Plan (10 copies - folded)
❑ Utility Plans (water tap plan - how will water be provided to site?) (6 copies :-L1unfoide) -- - -
❑ Other information the Director may require:
**Note: This checklist Is for a brand new facility including the pole and ground equipment.
Community Development & Neighborhood Services - 281 N College Ave - Fort Collins, CO 80522-0580
Fort Collins
Transportation Development Rev e Fee
Project Name: -r- M o� I L, (,u i 2
Project Locatioti:' ?,(;- / /< I C
Type of Submittal
Please indicate the type of application submitted by checking the box
preceding the appropriate request(s).
Fee structure amount due
❑ Overall Development Plan (CDP) $500 each
❑ Final Development Plan (FDP)
This fee includes 2 rounds of review
$1000 each
❑ Additional round of review
$ 500 each
❑ Annexation $20 X
—acres =—+ $250 =
❑ Minor Amendment
S250 each
❑ Major Amendment
$2,500 each
❑ Re -zone
S200 each
❑ Modification to Land Use Code
S200 each
Date Receive'a% Paid
,fotal',Amount Paid
riot v
3 S`I 5 �2(Ccf" 1344
Foot Notes:
When a development project involves a change of use for a
building, the charge per square foot shall apply to the portion of
the overall building size for which the change of use is proposed,
provided that the new use generates more traffic than the existing
use, as determined by the current Institute of Transportation
Engineers Trip Generation. If the new use does not generate more
traffic than the existing use then the charge per square foot for
shall apply only to the net additional building size (if any).
These fees do not include the cost of filing fees for the recording of
the Development Agreement. When a Development Agreement or
Amendment Agreement is entered into the Developer shall be
responsible for the cost of recording the document. Said filing fees
shall be calculated and provided when the signed document is
returned to the City for signatures and filing.
11, �� *** This fee does not include the cost of filing fees. Filing
Wireless Telecommunication Equipment (WTE) S65 each fees shall be determined at the time of final document
❑ Road Projects acres (of roadway) X $250 = submittal and will be required prior to filing.
❑ Vacation of Easement(s) *** # of vacations _ X $400 =
❑ Vacation of Right(s)-of-Way *** # of vacations _ X $800 =
❑ Dedication ofEasement(s) and/or Right(s)-of-Way ***
# of dedications X $250 =
❑ Project Development Plan (PDP) or Basic Development Review Project
requiring Transportation Services Review and/or utility plan review. This fee
includes 3 rounds of review.
Detached Single Family $160 per unit
# of units X $160 =
Multifamily or other residential units $115 per unit
_#of units X$115=
Commercial, Industrial, Retail, and/or Non residential
building square footage $0.25 per square foot
sgftX$0.25=
Size of the development (area being platted or if not being
platted size of parcel accompanying all development
improvements) $250 per acre acres X $ 250 =
Project fee $2,000 each $
Total of above amounts
If this fee amount exceeds $30,000 then the fee amount shall be:adjusted with
the following formula:
$30,O90 + (the amount over 30,000
The 'maximum fee for any residential ONLY project shall be $500 per
residential unit. This check should be used to verify the fee amount (does not
apply, to mixed -use developments): PDP fee shall be the lesser of this amount
or tle'atiove calcblaied amount.
# of residential units X $500 =
Reduction for affordable housing - a copy of the City letter certifying/
authorizing the affordable housing shall be provided with this application.
Amounf of reduction to be applied;
Total owed for PDP
cc: Christie White, Engineering
Development Review Engineering
General Information: y��'_-/
Owners Name(s): Z74e' m
O
Street address:
City/State/Zip: ���( QSas,3
Telephone: Fax_
Applicants/ Consultants Firm Name:
Contact:
Street address: 7_�761 4
City/State/ Zip:
Telephone:3'=��/-x:. ,
Certification
By signing this permit I acknowledge that I am acting with
the knowledge, consent, and authority of the owners of the
property (including all owners having "legal or equitable
interest in the real property, as defined in Section I"
2'of ttie)
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 permit City officials to
enter upon the property for purposes o'f, inspection.
Name (pleas -
Signature:
Telepho e:
JAN 312011 faN 9: iQ
City
tofFor-�vcih�✓� a c33
Collins DEVELOPMENT REVIEW:
APPLICATION FORM
For Office Use Only p
Date Submitted I - 31- Z o I I Current Planning File # Planner 4
Project Name: '1- AA D%1 LE UD IAE LLS-S:] H9
Project Loabon (6W Address): IGross
�S 15 OI C H-"ID # J 0 DPI J'y
Land Use Information:
Acreage/Square Footage:
Existing Zoning:
Proposed Use:
Total Number of Dwelling Units:
Total Number of Affordable Dwelling Units:
Percentage of Affordable Dwelling Units (out of total):
Total Commercial Floor Area:
Additional Information (if Applicable):
Project Description:
aiij M &;z-r- W LS%-<>�S
'l r U4 CGA-1 MI LtJ(ChT?C) c.JS F/tIC-tU z'
(Choose the type of project from the list on the back)
General Information: List all property owners having a legal/equitable
interest in the property Ottarch separate sheets it necessary).
Owner's Name(s): 11650c,kteS �Al d�fxn�A)'[5
Street Address: (OP'5 ioott+ 1,C556c.
Citylstate/ZIp: 3702
Telephone: Film 7057"
Applicant's/CoMU1teM'eNYrN: s5p;01 LI A4A),
LE
Name offirm: LLG-T-Mogl—
r
Contact VU WL__
StreetAddreu: /?/,�F,00�l, GrC.il%F Coft)Ry
CitylSta✓ tR ZIP e--A- , GO &23a
Telephone: 36 5 &01'2i771 Fa::
E-mail: -. WA/-A)Fi_E-
CERTIFICATION
I certify the information and exhibits submitted are true and correct to the best of my knowledge and that in fling this application, I am acting with
the knowledge, consent, and authority of the owners of the real property, as those terms are defined in Section 1-2 of the City Code (inducing
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 permit City officials to enter upon the property for the
purpose of inspection, and if necessary, for posting of public noticeonthe property.
Name (Please PRINT): &�&7 Lit /lb`43-' -
Address 7CFC, L f t7
Telephone: r b (-'S i7 ri
Signat and title showing authority to sign,'d pplicable)
c;� CERTIFICA TIONMUSTBE SIGNED. b
Community Development & Neighborhood Services - 281 N College Ave - Fort Collins, CO 80522-0580