HomeMy WebLinkAboutApplications - Administrative Change - 03/10/1994Project Nante:
Project Localio
Project Descrip
Today's Date:
GENERAL INFORMATION:
Owner's Name(s): D
Street Address: J 7 9 9 .,✓ /-7
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Lisl all owner having a legal/equitable
interest in the property:
Total Number of Dwelling Units:
Total Commercial Floor Area:
Applicant's/Consultant's Name:
Street Address:
City, State, Zip:
Telephone:
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PLANNING DEPARTMENT
APPLICATION FORM
rdREQUESTPlease indicate the type of application submitted b checkingthe box preceding appropriate q (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.
Certification on reverse side must be signed 3/93
)PUD ADMINISTRATIVE CHANGE
Dfescrription of the change and reason(s) for the request:
/
Planning ,
Action: J4PPle6f,ED
Date: 3-11- 91f
Buildin
Action: _
Date:
By:
Engineering
Action:
Date: -;3K, of 4-
Other (lf oppticabteI
CERTIFICATION
- I certify the information and exhibits submitted are true and correct to the best of my knowledge and that in filing this application 1
am acting with the knowledge, consent, and authority of the owners of the property (including all owners having a 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 the purpose of inspection and,
if necessary, for po&g a public pone o ha�r�pperty.
Name:GG�: �_,,
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