HomeMy WebLinkAboutCROWNE AT SUNIGA - FDP230023 - SUBMITTAL DOCUMENTS - ROUND 4 - Variance Request (2)Water/Wastewater
Variance Application
City of Fort Collins Water Utilities Engineering
Section A: Engineer/Owner Information
Engineer Name____________________________________________Phone___________________________
Street Address_____________________________________________________________________________
City__________________________________________State________________________Zip_____________
Owner Name______________________________________________Phone___________________________
Street Address_____________________________________________________________________________
City__________________________________________State________________________Zip_____________
Section C: Variance Information
Section B: Proposed Project Information
Legal description and/or address of property____________________________________________________
Project Name______________________________________________________________________________
Project/Application Number from Development Review (i.e. FDP123456)__________________________
Description of Project_______________________________________________________________________
__________________________________________________________________________________________
Existing Use (check one): ☐ residential ☐ non-residential ☐ mixed-use ☐ vacant ground
Proposed Use (check one): ☐ residential ☐ non-residential ☐ mixed-use ☐ other____________________
If non-residential or mixed use, describe in detail_______________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
State the requirement from which variance is sought:
What hardship prevents this site from meeting the requirement?
What alternative is proposed for the site?
Attach separate sheet if necessary
Attach separate sheet if necessary
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The owner agrees to comply with the provisions of the zoning ordinance, building code and all other
applicable sections of the City Code, Land Use Code, City Plan and all other laws and ordinances
affecting the construction and occupancy of the proposed building that are not directly approved by
this variance.
Signature of owner:_____________________________________________Date:_______________________
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Date complete application submitted:_____________
Date of approval/denial:__________________________ Variance: ☐ approved ☐ denied
Staff justifi cation/notes/conditions:_______________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
Approved by:__________________________________
Entered in UtilityFile Database? ☐ yes ☐ no
If you have questions or need assistance fi lling out forms, contact Fort Collins Utilities at:
Phone: 970-212-2900 · V/TDD 711
Web: fcgov.com/utilities · Email: WaterUtilitiesEng@fcgov.com
Aids and services are available for persons with disabilities.
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