HomeMy WebLinkAboutULTIMATE LOVING CARE ASSISTED LIVING FACILITY - PDP - 27-02 - SUBMITTAL DOCUMENTS - ROUND 1 - APPLICATIONNOTES/COiMMEATS:
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,propert for purpose of inspection, and if
necessary, for posting a public notice on the property. /
Name (please PRINT):
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IN
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Address:
O 'Y �c 2N DS
Telephone: q 7 0) oL b 6— 9 signaln
Today's Date_ (D510 Z
Current Planning Department
II For Office Use Only;
Cut'rent Planning File #21— Planner Tfb4 Tevu4i.
Project Name: 1 LLT.rmgzE Lovx:46C4AE A,
Project Location (Street Address): 5/07- 5,qti
Project Description: A n JSG W% 51 tLl 4,VV44 & I
t� a �"°P 6wR. t lJerlw Cafe. `S wtedl'tIokiov,
General Information: List rill property owners having a lesal/equimble interest
in the property (Altach separate sheets if necessary).
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Owner's Name (s): 0L2[/2i4 Y
Street Address:
City/State/Zip: FQ T DL[ zrJS
Telephone; hq 70) //742— DN dV Fax:
Application Form
of Fort Collins
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Lang) Use Infol . n1a Linn: (n�}
Gross Acreage/Squarc 1'0:(age:
Existing Zoning: PL Proposed Use: Cap my"
-
Total Number of Dwelling Units: NSA
Total Commercial Floor Area:
Applicant's/ConsultantT�sNnmc: _-bsp/1I/JE N TpEQ
Name of firm: 10EMAY- Fi 1-Si i-ySSaczATESt Tw) C
Contact: I3AA)il)E kE
Street Address: 4�� 7,02 (RttaAIRPWR 4 It2
City/Stale/Z.ip: Fop-T `OL(-=n15 00 ?QS.2C
Telephone: — 9 %o— o206— 922-/ Fax: 517D -Y9.--a8a1
Type or Request
Plea se inJicare die type qf application sit bin itted by checking the bor prct'cding apprnprirrte rcqueslLa). AddilianttI handouh are available explaining
suhrnitlal regitiremenis fir each of the fbllotving review processes..
❑ Annexation Petition with Initial Zoning REQUESTED ZONE:
Fee $ I ,188.00 + $50.00 sign posting fee
❑ Rezoning Petition RI?QI)FS'I'I?D'L.ONF:
Fee $977.00+.$50.00 sign posting lee
❑ Overall Development Plan (OUP)
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 + $50.00 sign posting fee + $.50 for each APO label
❑ Final flan 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
c rrac-1n e VI/_r00u - IIPDdTEO 0an)3/02
❑ Major Amendment
Fee: $3,200.00 + $50.00 sign posting fee
O Nun-Conlirrming Ilse Review
I tcc: $1,389.00
❑ Vacation ()PROW or Easement
Fee: $5.00 per sheet of filing document
Snutll Project Fees t2DO +�50 Si'H Ott -r tHZ INK 10'"5
Vice: 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
4'CERTIFICATION ON REVERSE SIDE. MUST RESIGNED. a