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HomeMy WebLinkAboutBENZEL MINOR SUBDIVISION - 20 92 - SUBMITTAL DOCUMENTS - ROUND 1 - APPLICATION6a City of Fort Collins --V2w- qZ Project Name: C7EN7—EL- WINO2 =UR.DIV15;10 l Project Location (Street Address): 9ZO N• CocLJ5GE Av<-Nc-)c Project Description: CAAN4e OF 05c o f Ew SI-ING 2 Ul�D/NC? Today's Date: A pzj L. 3492z, GENERAL INFORMATION: PLANNING DEPARTMENT APPLICATION FORM Land Use information: Gross Acreage/Square Footage: 17z 923 54UH2c�EET Existing Zoning: /'litgwAy t�CJS/titES5 Proposed Use: fS�v7Y 5,9LOLL Total Number of Dwelling Units: Total Commercial Floor Area: 44P SQvARE FEET Applicant's Name: SAA4 E Consultant's Name: Owner's NameA4,1e/ETTA QEIJZEL Street Address: Street Address: Z/4- N- &WES Q-/7Ef Street Address:6/0-8 MONTC VtsTa AVGNOE City, State, Zip: 5� City, State, Zip: tr <'Ot_CNS /, G0 E505Z l City, State, Zip: 13 1 Co' e-L-/nK_ CO 805 Z / Telephone: 4 6 Z -+S ?40 Telephone: ¢8 Z- g331 TYPE OF REQUEST Please indicate the type of application submitted by checking the box preceding appropriate request(s). Combined requests require the combined individual fees. Make checks payable to the City of Fort Collins. Starred requests (*) also require additional payment to Larimer County Clerk and Recorder in the amount noted. Additional handouts are available explaining information requirements for each of the following review processes. Annexation with Initial Zoning Fee: S50.00 + S 10.00 per sheet of annexation plit + S5.00 * per sheet of annexation petition Requested Zone: Rezoning Requested Zone: Fee: S50.00 + $5.00 * per sheet of rezoning petition Planned Unit Development - Overall Development Plan Fee: S60.00 Planned Unit Development - Preliminary Plan Fee: S50.00 Planned Unit Developpment- Final Plan (including final subdivision) Fee: S 110.00 + S 10.00 per sheet of subdivision plat X Minor Subdivision Fee: S150.00 Preliminaaryry Subdivision Fee: 550.00 Final Subdivision - I to 4 lots Fee: S75.00 Final Subdivision - more than 4 lots Fee: S110.00 + S10.00 per sheet of plat PUD Administrative Change Fee: 515.00 Extension of Final Approval Fee: S50.00 Multipple-Family Use Requests in the R-M and R-H Zoning District Fee: 585.00 Non -Residential Use Requests in the R-H Zoning District Fee: S85.00 Non -Conforming Use Requests Fee: S110.00 Group Home Review Fee: S85.00 ILIP Site Plan Review Fee: $110.00 Other Special Site Plan Review (RC, RF, etc.) Fee: $ i00 Vacation of ROW or Easement Fee: S5.00 * per sheet of filing document Street Name Change Fee: S5.00 * per sheet of filing document Please sign certification on reverse Sipe 5OI PUD ADMINISTRATIVE CHANGE Description of the change and reason(s) for the request: Planning Action: Date: By: Building Inspection Action: Date: By: Engineering Action: Date: By: Other (if applicable) CERTIFICATION I certify 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, consent, and authority of the owners of the property without whose consent and authority the requested action could not lawfully be accomplished. Pursuant to said authority, I 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: Address: Telephone: