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HomeMy WebLinkAboutGOOD SAMARITAN VILLAGE - ODP - 27-96A - SUBMITTAL DOCUMENTS - ROUND 1 - APPLICATIONMinor Amendment ia City of Fort Collins Description of the change and reason(s) for the request: Approvals Planning Action: Date: BY; Building Inspections Action: Date: BY; • Engineering Action: Date: 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 properM 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 posting a public notice on the property. Name (PRINT): Landmark Engineering Ltd. (Ken Merritt) r.� � "° < Address: sen ower . v . , Loveland, Cu 80537 Telephone: 70667- 86 Signature: Today's Date December 8, 1997 a�3a s fl6kya:w : %tio-C Project Name: Fort Collins Good Samaritan Village Project Location (Street Address): 508 W. Trilby Road Project Description: Overall Development Plan for 030 Current Planning Department Application Form Expansion of Residential, Administrative and Skilled Nursing Facilities General Information: List all owners having a legal/equitable interest in the property. (Attach separate sheets if necessary) Owner's Name(s)• The Ev. Lutheran Good Samaritan Street Address: 4800 W. 57th Society City/State/Zip: Sioux Falls, SD 57106 Telephone: 605-362-3100 Fax, 605-362-3302 Type of Please indicate the type of application submitted by checking the box pr submittal requirements for eacl Annexation Petition with Initial Zoning REQUESTED ZONE: FEE: $1,040.00 Rezoning Petition REQUESTED ZONE: FEE: $856.00 ® Overall Development Plan (ODP) FEE: $1,400.00 + $.50 for each APO label Project Development Plan (PDP)without Subdivision Plat FEE: $1,472.00 + $.50 for each APO label Project Development Plan (PDP)with Subdivision Plat FEE: $2,128.00 + $.50 for each APO label Final Plan without Subdivision Plat FEE: $2,808.00 Final Plan with Subdivision Plat FEE: $3,896.00 Preliminary Planned Unit Development (PUD) FEE: $1,472.00 + 1/2 of the Preliminary Subdivision Plat fee and .50 for each APO label ❑ Final Planned Unit Development (PUD) FEE: $2,808.00 +1 /2 of the Final Subdivision Plat fee Land Use Information: Gross Acreage/Square Footage: 13.887 Acres Existing Zoning. M-M-N Proposed Use:_ Residential, Office and Long Term Care Total Number of Dwelling Units:64 Existing, 91 New (Max.) Total Commercial Floor Area: 26,258 S.F. Existing, 10,000 As related to 1 ng term care and S.F. New (Max. accessory uses.$ Applicant's/* Name: Fort Collins Good Samaritan Name of firm: Landmark Engineering Ltd. Village Who is to be the lead contact? Ken Merritt Street Address- 3521 W. Eisenhower Blvd. City/State/Zip: Loveland, CO 80537 Telephone: 970-667-6286 Fax: 970-667-6298 Request :ceding appropriate request(s). Additional handouts are available explaining of the following review processes. Preliminary Subdivision Plat FEE: $1,312 00 El Final Subdivision Plat FEE: $2,176.00 ❑ Minor Amendment FEE: $168.00 ❑ Major Amendment FEE: $2,808.00 ❑Non -conforming Use Review FEE: $1,216.00 EiVacation of ROW or Eascmcnt 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: $496.00 Citv of Fort Collins NOTE: PDP's and Final (Preliminary and Final PUD's) may be submitted as a combined application subject to the Final Plan fee. Certification on reverse side must be signed.