HomeMy WebLinkAboutPVH HEALTH SYSTEM, HARMONY CAMPUS, 2ND FILING, INFRASTRUCTURE - PDP - 32-98D - SUBMITTAL DOCUMENTS - ROUND 1 - APPLICATIONMINOR AMENDMENT
Description of the change and reasons(s) for the request:
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Planning
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Zoning
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Engineering
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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 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' `
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Address: 03 1NNovknoN pp F�-T Loe-LIA5 !_a 19015a5
Telephone:
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City of Fort Collins
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Today's Date
Effective Rate
For Office Use Only: �8 Planner'
Current Planning File #
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Project Name: � � _. <ORN2K d�•rtryg�0.t{�
Project Location (Street Address): >,'O
Project Description: 15MMEL kND iNf 57R1�TURE
General Information: List all property owners having a legaUequitable interest
in the properly (Attach separate sheets if necessary).
Owner's Name (s): rO�4p LL&r t- eALV S 1-tS7r-A'1
Street Address: ASQ01 4EAS7- HkF.Mot�l� RD 501177E 4?k
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city/state/zip: r e0LJ_ 5 t_v `dG5a8
Telephone: 170 - X417 — 407 (0 Fax: `170-.;,TZ- (o75a
Current Planning Department
Application Form
id Use Information:
Gross Acreage/Square Footage: `IS 3a. AG/ 4 lSa. 2�(n 5•F.
Existing Zoning: } Proposed Use: MED16AcL
Total Number of Dwelling Units:
Total Commercial Floor Area: (�
Applicant's/Consultant's Name: Z vke- 'r
Name of firm:
Contact: wic A��t'r
Street Address: 5 iNNQAI070kJ DR
City/State/zip: tdLT- ca_L 6 5
Telephone: 4170 - A,11-757'7 Fax: fl''70 -
Type of Request
please indicate the type of application submitted 1?y checking the box preceding appropriate request(s). Additlonal handouts are available explaining
submittal requirenrentr 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
O Preliminary Subdivision Plat
Fee: $1,3120.00
PI t
❑ Minor Amendment
Fee: $192.00
❑ 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 ._ < ; :: ~ ;._ =L• . -.:i.'
Fee: $5.00
'❑ Extension ofFinalAVWoval [
Fee: $566.00 -
❑ Modification of Standards/Text and Map Amendmtitt'
Fee: $200.00,
❑ Final SnbdIVISI On a
Fee: $2,176.00 JJ q CERTIFICATION ON REVERSE SIDE MUST BE SIGNED. a
City of Fort Collins
la i rein c 000 . uruareu 3127101