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HomeMy WebLinkAboutEVANGELICAL LUTHERAN GOOD SAMARITAN, NEXTEL WTE - PDP/FDP - 33-05 - SUBMITTAL DOCUMENTS - ROUND 1 - APPLICATIONSUBMITTAL CHECKLIST WIRELESS TELECOMMUNICATIONS EQUIPMENT (CO -LOCATION) REVIEW The following information is required to be submitted, unless waived, with all applications. Any item waived must be dated and initialed by a planner with the City of Fort Collins Current Planning Department. Application form, $200.00 filing fee (plus .50 cents for each APO label), and $50.00 sign posting fee. se,`>Ls of � //? labels = z3v /aGeh x SD _ /% Fee. 3&7' Two (2) lists of names and address of all owners of record of real property within at least 500' of the property lines for the parcel on which the project is proposed, exclusive of public rights -of -way. One (1) list typed on mailing labels and the other list a reproducible copy of those labels. / Legal description of property (2 copies) on 8'/z" x 11" sheet. Planning Objectives (10 copies) No Architectural Elevations (5 copies — folded) -nda(W In s,'k-P/M sets, Old "oer- t/e/6y p4Cne_ convey-saff>n Site Plan (10 copies -folded) 24/ six 3b`/ Other information the Director may require:. /'L [� �8- Cd l47`ohgJ S��O� Aa; //'T 1141"h tO - he��6vr�r0a� /��¢P.1 rnJ "Note: This checklist is for co -location on an existing pole. Revised June 9, 2005 Additional Information (if Applicable): 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 property (including all owners having a legal or equitable interest in the real property, as defined in Section 102 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 should 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 a public notice on the property. /� / Name (Please PRIM): 1-06C Il Fib % �>2 /V Address: 33 J�/ Telephone: 323 /J / 7 ✓ Z — 3 05. Signature: Current Planning Department Application For Office Use Only Date Submitted General Information: List all property owners having a legal/equitable Current Planning File # Planner interest in the property (attach separate? sheets if necessary). Owner's Name(s): EVaO 8�In�✓ t%�` ScUy1GL yAh Project Name: T L L Project Location (Street A��d`dress): ��� / � � Street Address: Sob w T2/��3�(�040 Project Description: f ��r City/State/Zip: FUY27— C LLL//V/ / C O o"OS Z S �CiLti%�/li�/bT O/1/ uRageTUto, C©-LOC/�J-T-IgA4, Telephone: 9012Z---1sG3 Fax: (4/449) Land Use Information: Gross Acreage/Square Footage: /S 40-e-5 Applicant's/Consultant's Name: S_/,�FF— X 01 Tj4 i-_ W_ NEx TN-L Existing Zoning: Proposed Use: A� Cok6L �G X T,G L Name of firm:.� Total Number of Dwelling Units: .� Contact J���- 1,<eI TIT ��77 Total Number of Affordable Dwelling Units: NllT Street Address: 33� 1-1UV �:/VESS Pie. SOUTAl Percentage of Affordable Dwelling Units (out of total): City/State/Zip: r+. AI&-Z r- ✓bo 0 , C.-0 S%O// Z Total Commercial Floor Area: / Telephone: Fax: 30 Type of Request jef. k� @ neX l•Con� 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 S 1,188.00 + S50.00 sign posting fee ❑ Rezoning Petition REQUESTED ZONE: Fee $977.00 + $50.00 sign posting fee ❑ Overall Development Plan (ODP) Fee: $1,599.00 + $50.00 sign posting fee + $.50 for each APO label ❑ Project Development Plan (PDP) without Subdivision Plat Fee: $3,887.00 + $50.00 sign posting fee + $.50 for each APO label ❑ Project Development Plan (PDP) with Subdivision Plat Fee: $5,879.00 + S50.00 sign posting fee + S.50 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 ❑ Minor Amendment Fee: $192.00 ❑ Basic Development Review Fee: Varies: Check with the Current Planning Department ❑ Major Amendment Fee: $3,206.00 + $50.00 sign posting fee ❑ 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 11 v CERTIFICATION ON REVERSE MUST BE SIGNED. a UPDATED 612912005