HomeMy WebLinkAbout631 ENDICOTT ST - APPLICATIONS - 7/6/2009Fort Collins
Unappr® ed welling
Comments Due By
Application # 14 9, 0000
Effective Date
Unit Compliance Application Form
Date Submitted:
Property Location: 3 I j` ;
Legal Description (lot, block, subdivision):_LaLf Stt aS
General Information: List all propero; owners having a legal/equitable interest in the properoJ (Attach separate sheets
if necessary).
Owner's Name(s): S
Street Address: 4 t, City/State/Zip: - t t'A Os 21
Telephone:- Zjtj, 9DN Email:464n , FAX:_ L4 2 — 1G317
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Applicant's/Property Manager/Consultant's Name: f
Name of Firm:
Street Address: cQ //= City/State/Zip: 4,71 �� / %3„ C �=�
Telephone: 9iD M 5 �� ?%� Email: it,l C r i� J - Cc� FAQ::
Fee: $200.00 —Prior to June 15, 2010; $300.00 —June 16, 2010 to December 15, 2010; $400.00 —December 16, 2010 to
June 15. 2011.
SUBMITTAL REOUIREMENTS:
1) Three copies of site plan and floor plan Site plan must be to scale and has to show the parking provided on the lot,
location of alley (if any), curb cut, and the location of the public sidewalk along the street. Be sure that the site plan
shows the dimensions of the lot lines and the parking area and the surface treatment of the parking (gravel, concrete,
etc.). The floor plan should describe the use of each room (i.e. living room, bedroom, etc.). Allow up to 2 weeks for
City review of your application;
2) Completed and signed application form; and
3) Application fee
DESCRIPTION of request (i.e. obtain CO for duplex triplex etc.), year dwelling unit(s) first used as rental
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CERTIFICATION
I certify the information and exhibits submitted are true and correct to the best of my knowledge, and that in filing this application, I am
certifying that I am the owner of the property or that II am acting with the knowledge, consent; and authority of the owner of the property.
Name (please PRINT): \A1�(
Add
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Telephone: 2 I i ( —R D9 � Signature:
281 N. College Ave, PO Box 580, Fort Collins, CO 80522, (970) 416-2745 F: (970) 224-6134 (5/11/2009)