HomeMy WebLinkAboutFRIENDSHIP HOMES, INC - GROUP HOME - 32-88 - SUBMITTAL DOCUMENTS - ROUND 1 - APPLICATIONCOMMUNITY DEVELOPMENT DEPARTMENT
PLANNING DIVISION APPLICATION FORM CITY OF FORT COLLINS'
Pro'Ieet Name• Friendship Homes, Inc.
Project Number:
Project Location or Street Address:
Today's Date:
1312 E. Pitkin
Land Use Information:
Gross Acreage/Sq. Footage: 8250
Existing Zoning: RL
Proposed Use: Gp. Home — Board & Care for the Elderly
Total Number of Dwelling Units: 1
Total Commercial Floor Area:
low
GENERAL INFORMATION: Dorothy Stout, Director
Owners Name: Sue F. Gwynn Applicants Name: Friendship Homes, INc. Contact Person: Dorothy Stout
Address: 412 So. Howes Address: 1312 E. Pitkin Address: 1312 F. Pitkin
Telephone: 221-0407 Telephone: 493-7540 Telephone: 493-7540
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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.
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:
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L- J
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 aLItt with the knowledge and consent of the owners of the property without whose consent the requested
action cannot lawfully be acco ish d.
Name: -7k
Address:
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Telephone: -__ Z 2 j
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