HomeMy WebLinkAboutMARTIN LUTHER GROUP HOME - 24-87 - - APPLICATIONCOMMUNITY DEVELOPMENT DEPARTMENT
PLANNING DIVISION APPLICATION FORM
Project Name: Martin Luther Home Adolescent Facility
Project Number:
Project Location or Street Address: 2100 Eastwood Drive,
Fort Collins, CO 80525
Today's Date: 4/28/87
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GENERAL INFORMATION:
Owners Name: Martin Luther Home
Address: 2629 Redwing Road,#325 Ft Coll ins
Telephone: 303 223-1751
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Land Use Information:
Gross Acreage/Sq. Footage
Existing Zoning:
Proposed Use:
CITY OF FORT COLLINS
10347 square feet
Residential
GrouD home for developmentally disabled
Total Number of Dwelling Units: 1
Total Commercial Floor Area:
It
Applicants Name: Martin Luther Home Contact Person: Dr. Sharon Jacksi
Address: 2629 Redwing Rd. , #325 Ft. Collins Address: 2629 Redwing Rd. , #325 Ft. Collins
Telephone: 303 223-1751
TYPE OF REQUEST:
Telephone: 303 223-1751
Please indicate type of application submitted by checking the box preceding appropriate request(s). Combined requests, except for Final
PUD and Final Subdivision, require the combined individual fees. No application will be processed until all required information is provided.
Additional handouts are available explaining information requirements for each of the following review processes.
5/1985
'Please make check payable to Larimer County Clerk and Recorder. (OVER)
PUD ADMINISTRATIVE CHANGE
Description of the change and reason(s) for the request:
Planning Division:
Action:
Date:
By: — -
Building Inspection:
Action:
Date:
By:
Engineering:
Action:
Date:
By:
CERTIFICATION
I certify that the information and exhibits herewith submitted are true and correct to the best of my knowledge and that
in filing the application lam acting with the knowledge and consent of the owners of the property without whose consent the requested
action cannot lawfully be accomplished.
Name: Sharon S. Jacksi for Martin Luther Home, Inc. tom.,,
Address: 2629 Redwing Road, Suite 325, Fort Collins, Colorado 80526
Telephone: (303) 223-1751