HomeMy WebLinkAboutPATTERSON MRD - COUNTY REFERRAL - 30-87 - - APPLICATION0 •
LARIMPR COUNTY MLNOR PROPERTY DIVISIONS
AI1111,ICAT.ION FORM
Minor Land Division
Minor Residential Development
Amvnded Exempt ion
Add -on Agreement
Boundary Line Adjustment
(All parties Listed will receive correspondence; check one for primary contact.)
Applicant.: Name LAWRENCE C. AND BEVERLY C. PATTERSON
Mailing Address 5820 South Shields
City, State, Zip Fort Collins, CO 80526 Phone 303-226-1130
(if not owner, list owner's name and address
Surveyor: Name _Intermill Land Surveying, Inc
Mailing Address 1301 Cleveland Ave., Loveland, CO
City, State, Zip Loveland, CO
Other Representative: Name
Mailing Address
City, State, Zip
Phone 101-224-2362
Phone
Property
Location (Section, Township,
Range):
Sec. 11,
T6N, R69W of the 6PM, Larimer Count
Access:
Shields Street
Existing
Zoning:
FA farmin
Water Supply: Present.
Ft Collins -Loveland
Proposed
Sewage Systan: Present 4i
c Proposed
Existing Improvements: (list principal structures on each proposed lot)
Lot I
Lot 2
Lo t 3
Lot 4
Purpose of Request:
house and barn
jncP; nuthuilding and shed
.- .
Acreage of Existing Lot.
1 13 A Acreage of Each Lot.
1 9.7
Parcel(s) Lot
2 Proposed Parcel Lot
2
Lot
3 Lot
3
Lot
4 Lot
4
Signature of Owner(s)
Date .S' //_k 7
Date
Signature of Applicant(s)
r' Date
Date
LCPZ-137(1/87)
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ITEM PATTERSON LAND DIVISION
County Referral
NUMBER 30-87
UTILITIES CHECK SHEET FOR EXEMPTIONS
5820 South Shields, Fort Collins, CO 80526
Exemption Applicant -Name & Address Lawrence C. and Beverly C. Patterson
Lawrence C . Patterson and Beverly C . Patterson
Landowner's Name & Address �820 South Shields, Fort Collins, CC) 80526
1301 Cleveland Ave, Loveland, CO
Engineer/Surveyor Name & Address Tntermill Land Surveying, Tnr
Water District
Comments:
Signed:
Date:
Sanitation District
NOTE: This is for lots which are served by public sewer only. If on -lot sewage
disposal is proposed, this blank is not applicable. (Do not contact the Health Department.)
Comments: K3 , /�,
Signed: Date:
Mountain Bell Contact Business Office for the service area in which
the property is located.
Comments:
Signed: -R,/ Date: s y-87
Poudre Valley REA Contact Engineering Department
4809 South College Avenue, Fort Collins
Comments: Any existing facilities whether overhead or underground are
required to have 10 foot easement on both sides of said existing
facilities and the exemption platting is subject to the right of the
existing facilities.
Si ned: Wi�i�;P Da
C te: '7 CJ
Public Service Company Contact Cary lluett
1800 East Prospect, Fort Collins 482-5922
Comments:
YJb 0107J 4,�s
Signed:
Ditch Company:
Comments:
Date: 510q-7
Signed: _ Date:
I rr7-.117, 16/Ril