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BELLA VIRA - FDP - 36-05A/B - SUBMITTAL DOCUMENTS - ROUND 1 - APPLICATION
RECEIPT CITY OF FORT COLLINS NEIGHBORHOOD & BUILDING SERVICES 281 N. COLLEGE AVE. Phone:970-221-6760 Fax:970-224-6134 Application Type: Building / Misc / General / NA Application #: B0700275 Project Name: Address: Owner Name: Receipt No.: ------ Payment Method Ref Number Amount Paid Payment Date Check Owner Info.: Work Description: ti n _rc- 51,000.00 01/17/2007 12:02:41 PM --- ............OFP MCHILD DEVELOPMENT ` "- CO CK# 1095 1 \, 1 Additional Information (if Applicable): 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 terns 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 properly. �y7 Name (Please PRINT): /// /✓l G�/'d� Address: �D 3 7 L ° i%t �7ar- Telephone: Signature: (and title showing authority to sign, if applicable) P✓ c G i- 71it elopment Review Application For Office Use Only Date Current Planning File #�� Plai Project Name: CJt° //4. Project Location (Street Address): 1000 YlocK S. O Uer(aKd T%y Project Description: /i t'S/�Cl�><i a �� S /7 F l' 444. ,i lv e ...^ Land Use Information: Gross Acreage/Square Footage: Existing Zoning: lam% & ` Total Number of Dwelling Units: lq.S Total Number of Affordable Dwelling Units: Percentage of Affordable Dwelling Units (out of total): Total Commercial Floor Area: General Information: List all property owners having a legal/equitable interest in the property (attach separate sheets ifnecessary). Owner's Name(s): (�2FP DP t/elo/VM&A,f (�O Street Address: 2037 l PX.ti c725 ✓� r�✓ t City/State/zip: FT::P.-t �!l//u r ls, RDS';2 6" Telephone: 970 '6 50 .2/Fax: Applicant's/Consultant's Name: 0_e4, Name of firm: J/ivl Se l / V &S/'a vt Contact: 51,ye eT Street Address: 1,5_3 MZ /no "o'-Aa /✓t City/State/Zip: �nrf �ll kr©SV.2 Telephone: Fax: E-mail: Qp exec y f. n e t Type of Request Please indicate the type of application submitted by checking the box preceding the appropriate request(s). Additional handouts are available explaining the submittal requirements for each of the following review processes. ❑ Annexation Petition with Initial Zoning REQUESTED ZONE: _ Fee $1,188.00 + $50.00 sign posting fee + $.75 for each APO label ❑ Rezoning Petition REQUESTED ZONE: Fee $977.00 + $50.00 sign posting fee + $.75 for each APO label ❑ Overall Development Plan (ODP) Fee: $1,599.00 + $50.00 sign posting fee + $.75 for each APO label ❑ Project Development Plan (PDP) without Subdivision Plat Fee: $3,887.00 + $50.00 sign posting fee + $.75 for each APO label ❑ Project Development Plan (PDP) with Subdivision Plat Fee: $5,879.00 + $50.00 sign posting fee + $.75 for each APO label ❑ Final Plan without Subdivision Plat Fee: $1,000.00 wrl Final Plan with Subdivision Plat Fee: $1,000.00 ❑ Modification of Standards/Text and Map Amendment Fee: $200.00+ $50.00 sign posting fee ❑ Basic Development Review Fee: Varies: Check with the Zoning Department ❑ Major Amendment Fee: $3,206.00 + $50.00 sign posting fee + $.75 for each APO label ❑ Non -Conforming Use Review Fee: $1,389.00 ❑ Vacation of ROW or Easement Fee: $5.00 per sheet of filing document ❑ Small Project Fees Fee: Varies -Check with the Current Planning Department ❑ Street Name Change Fee: $5.00 Cl Extension of Final Approval Fee: $566.00 ❑ Site Plan Advisory Review NO FEE * CERTIFICATION ON REVERSE MUST BE SI GNED. ,P UPDArBD 912012006