HomeMy WebLinkAboutBALZERS SUBDIVISION, 624 S. LOOMIS - REPLAT - 51-02 - SUBMITTAL DOCUMENTS - ROUND 1 - APPLICATIONNOTES/CONIAIENTS:
City of Fort Collins
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 PRINT): ctz- (G 9?4 L ?-M
Address: QSLc o A,4 Y Gti-y,9,v �Or�i C J� i Jl Cy OJ�L 6 f
Telephone: Y V/ ^ q-� 05
Signature:
Tuday's Dine 12 / Z0 Z 00 Z
71
For Office Use Only;
Current Planning hilt H �1 Planner—
Project
Project Location (Stree(Address): Z c/ So Lool-r/ c
Project Description:
LOT C
General lufortnalion: List all property owners having a legal/equitable inlerc.+l
in the property (Attach separate sheetr if accessruy).
t
Owner's Name (s): Ck t e & 1' X
Street Address: Uo All ZC7 le-O /h,,-
City/State/Zip: Ir race-, � s Ca kOJ-ZC
Telephone: _I%p- S/��/- 9909' rax:!�2a-`J0?- 99'�6
Ar y,��A-,C&-S � P��r
Current Planning Department
Application Form
Land Use ]Ili 'ormalion:
Gross Acreage/Square Foolage:_ Z z // 0
rxis(ing Zoning: NG /`-/ Proposed Use: r
Total Number of Dwelling Units:
Total Commercial Floor Area:
Applicant's/Consuhanl's Namc: _DAUtz �ySLNc.Tf
Name ol'lirm: =T:2 CA)6i /eZ7ei J 6 —
Conlact: ✓C AD'6-
Slreet Address: 21;ZD LitS7- /°)L XYO Z�r-
uf7z 17y
City/Stale/Zip: fr- Co j_ i S Co �O1'LT
'1'clepbone: 9 $fly rax 9i0
Type of Request
!'lease indicate the type of application vubu:illed by checking the box precediog appropriate request(s). Additional handouts are available explaining
submittal requirements for each of the following review processes.
❑
Annexation Pelitior
Fee $1,188.00+$.
❑
Rezoning Pelilion
Fee $977.19) + $5C
❑
Overall Developme
Fee: $1,599.00 + $
❑
Project Developmer
Fee: $3,887.00 + $
❑
Project Developmer
Fee: $5,879.00 + $
❑
Final Phin wilboul S
Fee:$1,000.00
Final Pl:m with Sub,
Fee: $4,688.88 4
❑ Modificalion of Su
Fee: $200.00
'ar-ays 1/1/_)000 - Ilra,rrso 04MV2
Department
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City of Fort Collins