HomeMy WebLinkAboutApplications - Minor Amendment (MA) - 07/04/2002 7FForOfficeuse only: Current Planning Department
nning File r (20 -�1 sa f- Minor Amendment
Effective Date Application Form
itv of Fort Collins
Project Nlame: W O C 12 S
Project Location(Street Address)Z_1-0 Minor Amendment Fee: $192.00
Subdivision Name: �N �r4 r a ( ��
General Information: List pro r wners It ving a 1 aUequitabl irzarest i t the property(Attach separate sheets if necessary).
Owner's Name(s):�1 �0 � �� (�
Street Address: 1.1 F S _f City/State:Zip: LJ U, S
Telephone: A'�Z� (Q9 S R �—
ax:
A licant's/Consultant's tame: \ J /
Applicant's/Consultant's {,I � ( � l ,ameoffirm. �t
Street address: �1 W fl0, 1�iq City//S-tate.Zip: �j-
Telephone ZZ 4 Q9 Z3 K-Fax: �"L\� -�O (vo
General Legal Description of Property: �/ A Q,_ r YZ l ��
SL`B dITTAL REQUIR-EMENTS:
1) Four (4) copies of RECORDED plan (i.e. site. lancsca:,e. elevation - whichever is being altered) in
24"s36'' size (available at the Technical Services De::urment at 281 N. College) —RED-LNE THE
CHANGES ON THREE (3) OF THE COPIES:
2) Completed and signed application form: and
3) Application fee of S192.00.
MINOR AMENDMENT
Detailed description of the cha Qe and reason(s) for the recuest: CIN }' A
O t,
E�'*CERTIFICA�TION ON REVERSE SIDE iYIUST BE SIGNED. a
EFFECTIVE 4/8/02-UPDATED 4i3i02
;urrent Planning APPROVED ❑ APPROVED TV/CONDITIONS ❑ DENIED
comments/Conditions: -
2gtlI VIP, &V%4 oln
Date: (o °ti By: ` v%t -
Zoning APPROVED APPROVED IV/CONDITIONS ❑ DENIED
Comments/Conditions: d'^ a� L� Lict (e, " . /f ry -e
//
Date: 6 is-u�- By: r'� ✓ �`�`
Engineering ❑ APPROVED 2r\4PPROVED W/CONDITIONS ❑ DENIED
Comments/Conditions:
Date: By:
Other (if applicable) ❑ APPROVED ❑ APPROVED W1 CONDITIONS ❑ DENIED
Comments/Conditions:
Date: By:
CERTIFICATION
I certifv the information and exhibits submitted are true and correct to the best of nv knowledge and that in tiling this application. I am acting
with the knowledge.consent.and authority of the owners of the property i including all owners having a legal or equitable interest in the real
property, as defined in Section IO2 of the City Code:and including common areas:e;ally connected to or associated with the property which
is the subject of this application)without whose consent and authority the requested action should not lawfully be accomplished. Pursuant to
said authority, l hereby permit City officials to enter upon the property for the purpose of inspection. and if necessary, for posting a public
notice on the property.
Name(please PRINT): QN'C�
I/ N l�(JJJ vV
\
Lso
Address:
'z Signature:
Telephone. I —