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HomeMy WebLinkAboutREGENCY CHIPPENDALE HEPPLEWHITE - MINOR AMENDMENT - 10/28/1991PLANNING DEI'ARTMEI��:`�_:L a APPLICATION F RM. City of Fort Collins Land Use Information: Project Name: ` t'e-P l Gross Acreage/Square Footage: Project Location (Street ddress):X Re q ��-VC,pc�«IpL&e- Existing Zoning: ProjectDleseription: ina ?.i✓C�` smcill S{�c�e_ proposed Use: cz o 3 c(c S u Ixl i J. Total Number of Dwelling Uiuts: ,Today's Date: I act I Total Commercial Floor Area: GENERAL INFORMATION: Applicant's Name:. gclep+ Consultant's Name: Owner's Name: ' n A i V i AL)&I re-,:.,idcr'iC_ Street Address: n fiei j e. Street Address: Street Address: TI1 P RA('�p City, State, Zip: FCF+Cd11n 5 , o , , S5 0 5 Z City, State, Zip: City, State, Zip: Telephone: _bai : Z. 2.5 =GZ.'S 4 , LL;k : Telephone: TYPE OF REQUEST W__r'ev� 1) Please indicate the type of application submitted by checking the box preceding appropriate request(s). Combined requests require the combined individual fees. Make checks.payable to the City of Fort Collins. Starred requests (*) also require additional payment to Larimer County Clerk and Recorder in the amount noted. Additional handouts are available explaining information requirements for each of the following review processes. Fee: $150.00 Please signn certification on i-eveise side 5/91 PU D ADMINISTRATIVE CHANGE Description of the change and reason(s) for the request: p1�.4i 1 I rJ - LY' c, vi s' S . e. e b a nn,irn ��i c'vnisn'�� F,n �iu'iaYt1 n� GnP-C.1 I rvk Ru h v.,;e- becr l na f-i 4� d C fl & v S QG��I-b<1Planni°c c� 4es wl 11 b� mo �e t-{Zree w�ek5 pry +� plcu�� i ns, Action: Date: By - Building Inspecti' n ri Pate' a By: u�'3 Engineering Action: Date: By: Other (if applicabl CERTIFICATION O,I �ciiJisinn renuEsi- re.e�-s �� Suh�+vrsicn; /C ( c Set 4ACLn f l�S b eF Jn Cjj�O��'�: {oc- a lI ne-cesscrV ci4� 1i+y I certify the information and exhibits herewith submitted are true and correct to the best of my knowledge and that in filing the application I am acting with the knowledge, consent, and authority of the owners of the property 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 pure se of inspection and, if necessary, for posting a public notice on the property. Name: ' Address: , I 'I H U0 Telephone: U