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RECEIPT
CITY OF FORT COLLINS
COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
281 N. COLLEGE AVE
970.221.6760
PO BOX 580
970.224.6134 - fax
Application: FDP120017
Application Type: Planning/Final Plan/NA/NA
Address: 1008 RULE DR , FORT COLLINS, CO 80525
Receipt No. 184540
Payment Method Ref Number Amount Paid Payment Date Cashier ID Received Comments
Planning Fee -
Final Plan
($1000)
Transportation
Check 41008 $2,000.00 09/19/2012 SLINDELL Development
Review Fee
($1,000) paid
by PDC
Midwest, Inc.
ck#41008
Owner Info.: LTC PROPERTIES INC
6737 W WASHINGTON ST STE 2300
MILWAUKEE, WI 53214
Project This is a request to replat and combine Lot 1 of Sterling House P.U.D and Lot 1
Description: of Wovenhearts Memory Care subdivision for a total of 6.68 acres. The two lots
contain the existing Sterling House and Clare Bridge long term care facilities.
https://aim-v360.fcgov.comlportletslfeelreceiptView.do?mode=view&receiptnbr=184540... 9/19/2012
F66 lDr�/-
Cityof Transportation Development Review Fee Date Received/ aid ��/Z
�rt Coltlns Total Amount Paid 4 Up6
PDT Project Name: . �ii'_.meK1:,Al.E SE�t- L.tv,aE� (�ortnuN.�
Project Location: Lou. "°+ Date: 9 • b - L l
Type of Submittal
Please indicate the type of application submitted by checking the box
preceding the appropriate request(s).
Fee structure
Overall Development Plan (ODP)
$500 each
�( Final Development Plan (FDP)
This fee includes 2 rounds of review $1000 each
Additional round of review
S 500 each
Annexation $20
X acres = + $250 =
Minor Amendment
$250 each
Major Amendment
S2,500 each
Re -zone
$200 each
Modification to Land Use Code
$200 each
- Wireless Telecommunication Equipment
(WTE) $65 each
— Road Projects
acres (of roadway) X $250 =
Vacation of Easement(s) """
# of vacations X $400 =
= Vacation of Right(s)-of-Way ***
# of vacations _ X $800 =
Dedication of Easement(s) and/or
Right(s)-of-Way ***
# of dedications X $250 =
amount due
! lovo•_e
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
sq ft X $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:
$30,000 + %: (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 the above calculated amount.
# of residential units X S500 =
Reduction for affordable housing — a copy of the City letter certifying/
authorizing the affordable housing shall be provided with this application.
Amount of reduction to be applied
Total owed for PDP �Ot70teo
cc: Christie White, Engineering
Development Review Engineering
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 tiling fees
shall be calculated and provided when the signed document is
returned to the City for signatures and filing.
*** This fee does not include the cost of filing fees. Filing
fees shall be determined at the time of final document
submittal and will be required prior to filing.
General Information:
OwnersName(s); PCu°KaPaF Sf^t1°2rLwl�lg
�tS t1V l,lrlI 11-1C_. , 0. fi�El.hu.tkUr. `,orpAt-L�
Street address:
V131 �� , w►,s�t
Su ice' y300
City/State/Zip: l'111.wA,Uek>r , W t 02?j214
Telephone: Fax:
Applicants/ Consultants Firm Name:
?i;t t- th�rsT t t"r—
Contact: 'A.A'A-'Q0
Street address:
II o 3XME-� 'bt-
Su 1�E i 06P
City/State/ Zip: 114¢jL+.3� , u1t 'i3o29
Telephone: Z`Z, 5 63. 5212) Fax:
Certification:
By signing this permit 1 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 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 )awfully be accomplished.
Pursuant to said authority, I hereby permit City officials to
enter upon the property for purposes of inspection.
Name (please print): l�r'wPPx�°� iSer:
Signature: ispr 4..
Telephone: ;tb2. Sb 27$
�F�ort of
e aW �- W: i 7
--ia
DEVEL PMENT REVIEW:
APPLICATION FORM
For Once Use 0 ly
/�_� / �,y� ��
Date Submitted -/ -17-1� Current Planning File #T, 1�(7 Planner ye9
Project Information
SKelArea Information
Project Name: -I 04nAL-C �t"Mort_ L.���a[s, (',,r,nuu� T
Residential Area: 2'10, tsh1 FL '*.rs Acres
Project Description (Choose type of request from the list on the back):
_Sq,
Commercial Area: _ Sq. Ft. Acres
Industrial Area: _ Sq R. Acres
Mixed Use Area: _Sq. FL Acres
Right of Way Area: Sq. Ft. Acres
Parking and Drive Area: Sq. FL cres
A
Stormwater Detention Area: Sq. Ft.
Location Description/Project Address:
,(
L� S Wyl:.ugbPtA I.aC{ WOxILau Lf5_
_Acres
Landscape Area: -Sq. Ft. Acres
4- - Ioel'teoi I" W.��OS
"Cross
Open/OtherAreas: Sq.FL Acres
Gross Area: Sq. Ft. Acres
Major Cross Streets: &4 r- k Q+u t t
Zone District:
Floor Area Ratio:
Parcel Number:
Gross Density: Net Density
BuildinglUnit Information
Owner Information
Residential:_.,____ Square Feet
Name: PAWt*t&VwJtg Cenee,rra�11ES 1JC.
Address: r,'13'1 W wtPS�,lxeroo-1 A VeAAWAA [�+�t(M
Commercial: _Square Feet
5u, O°
Industrial: Square Feet
C1ry:19twre utdcf. state: W 1 Zip: 1
Building Floor Area Ratio: _
Phone: �4t4.9* *Alo Email
Platted Area: 6•61 4c.445
Number of Units:
A licant Information
Single Family Attached: Sim jle Family Detached:
Name: 'Eb.,��a rs oiiJsol.l
Organization Name: ReG 140
Two Family: Multi -Family:
Contact: Aom"4o-J
Address: -liio Jtarntti ha- eeu!Zg tor.
Dates:
City--}hlt! o.th State: cot Zip:5$0241
Conceptual Review Meeting Date - conw KAEA-
Phone:_�.L•S,Y52?OEmail:EjeOAso.@P cw:dwes{.ce.
Neighborhood Meetng Date - r-nP t.. r -
Preferred Method of Contact:
Hearing Type - conP�t�er�-
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 real property, as those terms are defined in Section 1-2 of the City Code (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 the
purpose of inspection, and If necessary, for posting of public notice on the property.
Name (Please PRINT): Er w,0a lea asw1
Address: 1130 Jkrr65 tvLF 5ur(C lot, y}wW4* W{ 53e19
Telephone: 1A-2, IS(A. 5).15
Signature: (and title showing authority to sign, if applicable) ! / Pp,JecT (,u4e1t j _ -7. t- • tZ
1*CERTIFICATIONMUSTBESIGNED, a
Community Development & Neighborhood Services - 281 N College Ave - Fort Collins, CO 80522-0580