HomeMy WebLinkAboutMARTIN LUTHER HOME ADOLESCENT FACILITY - GROUP HOME REVIEW - 24-87A - - APPLICATIONPLANNING DEPARTMENT
APPLICATION FORM
City of Fort Collins
Project Name: MARTIN LUTHER HOME ADOLESCENT FACILITY
Project Number:
Project Location or Street Address: 2100 EASTWOOD DRIVE
FORT COLLINS, CO 80525
Today's Date:`*��
Land Use Information:
Gross Acreage/Sq. Footage: ? 0347 SQUARE FEET
Existing Zoning
Proposed Use:
RESIDENTIAL/ GROUP HOME
GROUP HOME FOR DEVELOPMENTALLY DISABLED
Total Number of Dwelling Units: 1
Total Commercial Floor Area: 0
OERAL INFORMATION:
Owners Name: MARTIN LUTHER HOME Applicants Name: MARTIN LUTHER HOME Contact Person: DR. SHARON JACKSI
Address: 2629 REDWING RD.# 130,FT.COLLINS Address: 2629 REDWING RD. #130,FT COLLINS Address: 2629 REDWING RD.#130,FT COLLINS
Telephone: 303 — 223-17
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Telephone: 303 — 223 —1751 Telephone: 303 — 223 —1751
TYPE OF REQUEST:
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.
Annexation with Initial Zoning
Fee: $50.00 + $10.00 per sheet of annexation plat + $3,00* per sheet
of annexation petition Requested Zone
Rezoning Requested Zone
Fee: $50.00 + $3.00* per sheet of rezoning petition
Planned Unit Development - Master Plan
Fee. $60.00
Planned Unit Development - Preliminary Plan
Fee: $50.00
Planned Unit Development - Final Plan (including final subdivision)
Fee: $110.00 4 $10.00 per sheet of subdivision plat
PUD Administrative Change
Fee: $5.00
Minor Subdivision
Fee: $150,00
Preliminary Subdivision
Fee: $50.00
Final Subdivision - T to 4 lots
Fee:. $75.00
Final Subdivision - more than 4 lots
Fee: $110.00 d- $10.00 per sheet of plat
Multiple -Family Use Requests in the R-M and R-H Zoning District
Fee: $85.00
Non -Residential Use _Requests in the R-H Zoning District
Fee: $85.00
Non -Conforming Use Requests
Fee: $110.00
X
Group Home Review
Fee: $85.00
JL/IP Site Plan Review
Fee: $110.00
Other Special Site Plan Review
Fee:$100.00
Vacation of ROW or Easement
Fee: $3.00* per sheet of filing document
Street Name Change
Fee: $3.00* per sheet of filing document
5 1987 *Please make check payable to Larimer County Clerk and Recorder.
PUD ADMINISTRATIVE CHANGE
Description of the change and reason(s) for the request:
Planning Department:
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 I am acti ng with the knowledge and consent of the owners of the property without whose consent the requested
action cannot lawfully be accomplished.
Name:
Address: 2629 REDWING RD- tt 30, FORT COLLINS, COLORAnn 90576
Telephone: 303 - 223 - 1751