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RECEIPT
CITY OF FORT COLLINS
COMMUNITY DEVELOPMENT 8: NEIGHBORHOOD SERVICES
281 N. COLLEGE AVE
970.221.6760
PO BOX 580
970.224.6134 - fax
Application * : B1006854
Project Name (Subdivision) : CROSSROADS SAFEHOUSE
Application Type : Building / Misc / General / NA
Receipt No.: 156951
Payment Method Ref Number Amount Paid Payment Date Cashier ID Comments
Check 1026 $1,000.00 10/26/2010 01:35:44 PM SLINDELL FINAL TOR FEE PD BY CROSSROADS SAFEHOUSE INC. CK#1026
Owner Info.:
Work FINAL PLAN TRANSPORTATION DEVELOPMENT REVIEW FEE PAID BY
Description: CROSSROADS SAFEHOUSE, INC. CK#1026
T8108-D
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Project Location: Date:
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 (ODP) $500 each
Final Development Plan (FDP)
This fee includes 2 rounds of review $1000 each / dV0
❑ Additional round of review $ 500 each
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).
❑ Annexation $20 X _ acres = + $250 = These fees do not include the cost of filing fees for the recording of
❑ Minor Amendment $250 each the Development Agreement. When a Development Agreement or
Amendment Agreement is entered into the Developer shall be
❑ Major Amendment $2,500 each responsible for the cost of recording the document. Said filing fees
shall be calculated and provided when the signed document is
❑ Re -zone $200 each returned to the City for signatures and filing.
❑ 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 =
❑ 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 $ l 15 =
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:
$30,000 + Y: (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 $500 =
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
cc: Christie White, Engineering
Development Review Engineering
"• 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:
Owners Name(s):
Street address: JL MR
City/State/Zip: FOrzr LLAAJ5 { CIO 905?*
Telephone:176 Z3SOFax:
Applicants/ Consultants Firm Name: _
MV' C.TL I , )NG
Contact:
Street address:
City/State/ Zip: 6_&7L.L1QS Ct,7 go5z�
Telephone: q70 ZZ+} 157lOFax: !1- 0 tZ� Si/5
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 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 permit City officials to
enter upon the property for purposes of inspection.
Name (please print): JUSTIN
Signature:
Telephone: T170 Z
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
❑ 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: $200.00
❑ 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
❑ Extension of Final Approval
Fee: $566.00
❑ Site Plan Advisory Review
NO FEE
❑ Addition of Permitted Use
Fee: $500.00 + $50.00 sign posting fee + $.75 for each APO label
Revised January 21, 2010 2 PDP Submittal Requirements
J
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F&City of �tyf,�r�.��%✓ �� ��" 3'/0
tCollins DEVELOPMENT REVIEW:
APPLICATION FORM
For Office Use Only
Date Submitted Current Planning File # Planner �!e
Project Name: CA �RpADS SA rj4apSL
Project Location (Street Address;:
LE,ZI
Land Use Information:
Gross Acreage/Square Footage: A 7 %D 5 5, r,
Existing Zoning: L.r-"
Proposed Use:
Total Number of Dwelling Units: 0,
Total Number of Affordable Dwelling Units: WA
Percentage of Affordable Dwelling Units (out of total):
Total Commercial Floor Area:
Additional Information (if Applicable):
Project Description.
QpAmIr- ;c[ OF g*sruG Bo D)✓C,
10-ro iJ:!Hr5me. VFOL EU(E S.1C L-qm
(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 (attach separate sheets if necessary).
Owner's Name(s): (�I[vssaoaos S,bFfNausfC r i,-16
Street Address: 421 YnQ_-kCQ_
City/State/Zip: F'02-7'Cxn_3_4+X (moo bo!;tj
Telephone: 170 530 i3 S3 Fax:
Applicant's/Consultant's Name: „j_Lwr,w1 L kv,:3
Name of firm: JGL AVe—HITECTI.LIZ ., 10&
Contact: —Xa3OY1h: 02 'T&Nk&CZ MIGdc-R
Street Address: 4,0 5. Mpt. r3 G;r
City/State/Zip: Fvwx 6,oL4, & C_o $05Z4
Telephone: 170 Z34 5710 Fax: VO ZZ4 6715
E-mail: JxAariw! calk
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): _(usnN LA"chj
Address: ¢OI S Mosor i St Fir C.A.uNr Co
Telephone: 970 ZZ4 57to
Signature: (and title sho ing authority to sign, if applicable)
b CER TIFICA TION MUS T BE SIGNED. a
Community Development & Neighborhood Services — 281 N College Ave — Fort Collins, CO 80522-0580