HomeMy WebLinkAbout412 E. PITKIN CHANGE OF USE PDP - MINOR AMENDMENT - 21-06 (MA0700044) - REPORTS - APPLICATIONComm -line d,-iii
City of Fort Collins Zoning Department Minor Atnene�nent # (M Ot UDo tly
ftM281 N. College Ave; PO Box 580 Planner
�� Fort Collins, CO 80522 Effective Date
Cita of Fort (970141fi-2745 FAX (9701224-6134
Minor Amendment Application Form
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ted: > �n �l 07yra E P,Jkrh104l9e:_�_/ CfMinor Amendment Fee: $19''.(10
tion (Street Address): y� G / �61 �ption: �U +�Yi ^�t�( i� 3/� /b
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General Information: List all propene l+'nel sral,ing a legalieguilable interest in the properm (Attach separate sheers if necessan).
Owuer's Name (s):
Street Address: a? City/State/Zip:
Telephone: 771 ti IlL--Fax: /J
ztss�% Name of firm:
1' t' )Consultant's Name:
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City/State/Zip:
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Street Address: /
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Email �tui0�!
Telephone: y/7
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— Fax:
SUBMITTAL REQUIREMENTS:
1) Six (6) copies of RECORDED plan (i.e. site, landscape, elevation, etc. whichever is being altered) on
24" x 36" size (usually available at the Technical Sen ices Department at 281 N. College) —RED-LINE
THE CHANGES ON the Six plans or provide si� co of revised dTawings le
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addition to the six originals;
2) Completed and signed application form; and
3) Application fee of S192.00.
MINOR AMENDMENT
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Detailed description of the change and reason(s)Jfor the
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CERTIFICATION
I certify the information and exhibits submitted are true and correct tt a 1 ow ers having ng a lge a gal o eqthat in uitable ble tntereing this lst n the reaication, I d property , acting tas
the knowledge, consent, and authority of the own
ers of the property (including and authority defined in Section 1-3 of the City Code; which is the subjectof
t ermithis pCity offic als t tentersupon thetp operty for he purpose odf inspection, and ld ]f
lawfully be accomplished. Pursuant to said authority, )' P
necessary, for posting a public notice on the propert}'.
Name (please PRINT): .l n _ •> >�