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HomeMy WebLinkAbout2609 Pasquinal Dr - Minor Amendment/ Application - 05/18/19895 q &--el PLANNING DEPARTMENT APPLICATION FORM City of Fort Collins Project Name: ��� l l Iz� << :�: Land Use Information: Project Number: Project Location or Street Address: 4\60 ` Today's Date: r \ ni + (`I GENERAL INFORMATION: (n� Owners Name: C 1� v t Address:L- Telephone: 5/1987 Gross Acreage/Sq. Footage: Existing Zoning: Proposed Use: Total Number of Dwelling Units: Total Commercial Floor Area: _ Applicants Name: Address: 2, G Telephone: a 3 TYPE OF REQUEST: i Contact Person: Address: Telephone: Please indicate type of application submitted by checking the box preceding appropriate request(s). Combined requests, except for Final PUD and Final Subdivision, require the combined individual fees. No application will be processed until all required information is provided. Additional handouts are available explaining information requirements for each of the following review processes. *Please make check payable to Larimer County Clerk and Recorder. PUD ADMINISTRATIVE CHANGE Description of the change and reason(s) for the request: `��� �^E' �- z ����•-� 5-�-'� �i�r � 1� •� � �� ��� �`�5�T"�C�� r �� l � � � � � -� r� c, t . �-•-�-, �c'�.-� ',-t. �-c��� Planning D partment: f� Action: . / ✓�//� ,� �.�ll 6% Date: ��/ r // gy. �i�l/�v✓�„G (/l� ' l ,L � Building Inspection: Action: �' '��Q �� �ate: � ' - /b • 9 � sy: 3 Engineering: Action: Date: BY: �I CERTIFICATION I certify that the information and exhibits herewith submitted are true and correct to the besl of my knowledge and that in filing the application I am aciing with the knowledge and consent of the owners of the property without whose consent the requested action cannot lawfully be accomplisf7ed. -�� Name: _��_�� Address: �L-G '� 'f r ('� ,�`�" ��wc� (= i c,� l c : � � � �� c�S.� � Telephone: �- � � '� 3 `'� ����