HomeMy WebLinkAboutRICKETTS SUBDIVISION - MINOR PLAT - 9-88A - SUBMITTAL DOCUMENTS - ROUND 1 - APPLICATIONC�10
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ProjectName:
Project Number:
Project Location or Street Address:
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Today's Date: A ^ �7_ 06
GENERAL INFORMATION:
Owners Name: eft ( V 9 �( QI�T-r1f
Address: ���oo W),—I.1 U(,[�>6W—L
Telephone
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5/1985
COMMUNITY DEVELOPMENT DEPARTMENT
PLANNING DIVISION APPLICATION FORM
Applicants Name: �� H
Address:
Telephone:
CITY OF FORT COLLINS
Land Use Information:
Gross Acreage/Sq. Footage:
Existing Zoning:
Proposed Use:
Total Number of Dwelling Units:
Total Commercial Floor Area
TYPE OF REQUEST:
Contact Person: 6f40k -r it A—f'-�oC ,
Address: %/¢ /-) • ooQkz�
Telephone: � "L - 7:3 3 I
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.
`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 I am acting with the knowledge and consent of the owners of the property without whose consent the requested
action cannot lawfull beaccomplished.
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Name: *� P, , i )
Address:----, ff����GC4 AL�r�(��
Telephone: ¢ C r