HomeMy WebLinkAboutPONDEROSA PARK PUD REPLAT - FINAL - 17-87A - SUBMITTAL DOCUMENTS - ROUND 1 - APPLICATIONCOMMUNITY DEVELOPMENT DEPARTMENT
gp s0 PLANNING DIVISION APPLICATION FORM CITY OF FORT COLLINS'
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Project Name: RE PLAT OFf'a�er of �UA1pcR-OSA TARfc P.O.D.
Project Number:
Project Location or Street Address: PoAJDEp20w Die�vE
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Today's Date: MAX S`{ 19A7
GENERAL INFORMATION:
Owners Name: JOH,v D. M A Z r/ N
Address: 1500 LA RoZrE Aye, FT&t-uA/i lD
Telephone: 48 4 - S 33 3 SOSZ/
Applicants Name
Address:
Telephone:
JAMS
Land Use Information:
Gross Acreage/Sq. Footage: 127 9 4 A c- 2 E s t
Existing Zoning: R. L
Proposed Use: .Siva L E FA miz-X AE rAcH Ep D
Total Number of Dwelling Units: / e
Total Commercial Floor Area:y
Contact Person: 2ic.HA e 0 A RunyezFo.er>
Address: 2/4 AJ. Hower 1'r.' Fr. Coacieir, Lo 80SZ/
Telephone: 9'8 Z '9 331
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.
n;of ROW or Eas
PUD ADMINISTRATIVE CHANGE
Description of the change and reason(s) for the request:
Planning Division:
Action:
Date: a —
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 lawfully be accomplished.
Name:
Address: Z/4- A). !'7 oWGS ITZEET , FT. Co&i-zkiJ, CO. AOS z /
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