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HomeMy WebLinkAboutMOUNTAIN CREST HEALTHCARE, 4601 CORBETT DR., WIRELESS TELECOMMUNICATIONS FACILITY - PDP/FDP - 28-01 - SUBMITTAL DOCUMENTS - ROUND 1 - APPLICATIONMYNOR AMENDMENT APPROVED APPROVED wl CONwnom DENIED CONDITIONS: Description of the change and reasons(s) for the Request: G.urrfit Piafrming APPROVED APPROVED W/ CONDITIONS DENIED date; By: Zonif. APPROVED APPRO vED W/ CONDITIONS DENIED tote: By: Fngineeriffg APPROVED APPROVED W/ CONDITIONS DENIED 1 OW, By: Other (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. (please PRINT): AD --i-S, D cyJ H r KS T Address: 1 4 o W L S T 0 8 K- S T. , S U L ([ 7- 3 0 I c oz- /U'r Telephone:( _] 10) 50 - � n Signature: r Q . 111 Today's Date 0tt�r7—mI For Office Use Only, Effective Dat Current Planning File # Planner Project Name: C t r 0 e I C QM M L. N2 G AT rAA1 Project Location (Street Address): 1-I (oO I akbE r r Project Description: WJ AJZAV Eeh.0 Far... : (S"A Q • \ _ . I .• 46,0( Ix)TF - General Information: List all property owners having a legal/equitable interest in the property (Attach separate sheets if necessary). Owner's Name (s): � �p, V f 1 f IL ,I (,yi, , Street Address: H tj 0 1 GO FJr p le, . City/State/Zip: F %nJ CtV4e o 10 t 0S1 i Telephone: q 70 - 7.07 - H 85 1 Fax: 9 70 -2,07-- L( d05 Current Planning Department Application Form Land Use Information: Gross Acreage/Square Footage: 2 S 9 Existing Zoning: H - L Proposed Use: W, 6k,44474�r�. Total Number of Dwelling Units: N A Total Commercial Floor Area: AI A Applicant's/Consultant's Name: AkV0/&&w 61qr,lk7,tsr Nameoffirm: "(,CtV T' ieGMt00006 i F_S Contact: Street Address: I LJ 0 LJE.S r Q 4 K S TREE P S# L3 O City/State/Zip: FOKr GOLL.rVj CO 105zc.f Telephone:'"(77 O) f 30-$7b7 Fax: (108'� j % c1 - ,9>5 Y Type of Request Please indicate the type of application submitted by checking the box preceding appropriate request(s). Additional handouts are available explaining submittal requirements for each of the following review processes. ❑ Annexation Petition with Initial Zoning REQUESTED ZONE: Fee $1,188.00 ❑ Rezoning Petition REQUESTED ZONE: Fee $977.00 ❑ Overall Development Plan (ODP) Fee: $1,599.00 + $.50 for each APO label Project Development Plan (PDP) without Subdivision Plat Fee: $3,887.00 + $.50 for each APO label ❑ Project Development Plan (PDP) with Subdivision Plat Fee: $5,879.00 + $.50 for each APO label Final Plan without Subdivision Plat Fee: $1,000.00 ❑ Final Plan with Subdivision Plat Fee: $1,000.00 ❑ Preliminary Subdivision Plat Fee: $1,3120.00 ❑ Final Subdivision Plat Fee: $2 176 00 ❑ Minor Amendment ❑ Site Plan Advisory Review Fee: $192.00 NO FEE ❑ Major Amendment Fee: $3,206.00 ❑ 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 ❑ Modification of Standards/Text and Map Amendment Fee: $200.00 EFFECTIVE 1/1/2000 -UPDATED 7//0/0/ 1* CER TIFICA TION ON REVERSE SIDE MUST BE SIGNED. a dM City of Fort Collins