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HomeMy WebLinkAboutNE PROSPECT & I-25 ODP - MA210006 - - APPLICATIONMinor Amendment Application Form - Zoning Department The requested information on this application is required. SUBMITTAL REQUIREMENTS: 1)The initial submittal and additional rounds of review shall be electronic (please email all materials to DRCoord@fcgov.com) of the site, landscape, elevation, etc. - whichever sheets are being altered. A Legal Description is required. Changes on each sheet should be clouded. Once all departments approve the proposed changes a Final Hard Copy will be required to be printed on 24”x36” Mylar sheets. Please ensure the electronic submittal can be printed to scale on 24”x36” sheets. 2)Complete and sign Minor Amendment application form and Transportation Development Review Fee application form (TDRF). The following link is to the TDRF application form: https://www.fcgov.com/engineering/pdf/TDRF2012applicationform.pdf?1365616099 3)Application fee of $350 ($192 + $158 Transportation Development Review). Note: an additional $250 fee is required if the Poudre Fire Authority (PFA) needs to review the application. Typically, PFA fee is required for all changes of use, building additions and/or new buildings. MINOR AMENDMENT Detailed description of the change and reason(s) for the request: ___________________________________________________ Date Submitted:________________________ Comments Due By:_____________________ Minor Amendment # ____________________ Zoning Facilitator: ___________________________________________________ Effective Date:_________________________ THIS BOX IS FOR OFFICE USE ONLY Project name:________________________________________________________________________________________________ Project Location (Street Address): ___________________________________ ___________________________________________ General Information: List all property owners having a legal/equitable interest in the property (Attach separate sheets if necessary). Owner’s Name (s): ___________________________________________________________________________________________ Street Address: ______________________________________ City/State/Zip: ___________________________________________ Telephone: __________________________ Email:__________________________________________________________________ Applicant’s/Consultant’s Name : _______________________________ Name of firm: ____________________________________ Street Address: ______________________________________ City/State/Zip: ___________________________________________ Telephone: __________________________ Email: _________________________________________________________________ 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 1-2 of the City Code; 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 PRINT): ___________________________________________________________________________________________ Address:________________________________________________________________________________________________________ Telephone:________________________________________Signature:_____________________________________________________ 281 N. College Ave, PO Box 580, Fort Collins, CO 80522, (970) 416-2745 F: (970) 224-6134 Tenant-In-Common Address Ownership Percentage Eric S. White 7276 S Chapparal Cr East Centennial, C0 80016 17.5943% New Direction IRA, INC. FBO Barbara Ann Medina IRA 16 Inverness Pl E # 100, Englewood, CO 80112 14.0563% M. Jennet White 6810 W Chatfield Lane Littleton, CO 80125 1.3072% CW Subtrust 6810 W Chatfield Lane Littleton, CO 80125 34.8249% Christopher D. White 6811 W Chatfield Lane Littleton, CO 80125 2.7732% Booren Limited Liability Limited Partnership 5330 South Fulton Court Greenwood Village, CO 80111 9.0332% Dunkin Limited Liablity Limited Partnership C/O R&R Engineers-Surveyors 1635 W 13th Ave. Suite 310, Denver,CO 80204 5.5474% Robert C Roth, Jr. 5883 S Kearney Street Greenwood Village, CO 80111 2.6144% Robert B Taylor 2560 Quail Street Lakewood, CO 80215 0.8715% Daniel A. White 7830 S. Queensburg Way, Aurora, CO 80016 5.3298% Jane E. White 7276 S Chapparal Cr East Centennial, C0 80016 2.9101% Laura Snortland Fairfield 605 Garden Road, DeKalb IL 60115 3.1377% 100.0000% NEC Prospect and I-25 Ownership Information