HomeMy WebLinkAboutN LEMAY AVE AND CONIFER ST - MINOR AMENDMENT - 5/19/19945
PLANNING DEPARTMENT
APPLICATION FORM.
City of Fort Collins
Project Name:
Land Use Information:
Gross Acreage/Square Footage: _ k734 ALBS.
Project Location (Street Address): MA Existing Zoning:
Project Description: �o����*; ��GF Sto2� s�rlo K�rcat ProposedUse: C�QSt�ci�orl- Rom, r� Sf��S.
C �riTG�' Total Number.of Dwelling.Units:
Today s Date: 'hlAy 7 9, Tptal.Commefcial Floor .Area:
GENERAL INFORMATION: Ust all
inib _
having
A inlemin 16Applicant's/Consultant'sName: }-jtCgW,&+'M GrS�Tvrcpfl _.
e pm eny: -- I
Owner's Name(s): ti4ag ctF2.g-: �L Street Address: 17301 S • Gc�[ t EGA �Za Z
Street Address: 15Q�) i;. MUt y City, State, Zip: _F�'-- Cv e l tf ls. 25C)5Z.S
City, State, Zip: I-T Co elephone: Telephone: 4-93
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.
Certification on. reverse side must be signed 3/93
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F UD ADMINISTRATIVE CHANCE
Description of the change and reason(s) for the request
Plann'
Action:
Date:
By:
Buildin Inspection
Action:
Date:
By: P5
Engineering
Action: _,&t
Date: rft •2
Other (if applicable)
N egnYAt O t Dif r 'rz o Oni NE JJ ST nDE
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 acting with the knowledge, consent, and authority of the owners of the property (including all owners having a legal or equitable
interest in the real property, as defined in Section 1-2 of the.City Code; and including common areas legally connected to or associated
with the property which is the subject of this application) without whose consent and authority the requested action could not lawfully
be accomplished. Pursuant to said authority, I hereby pemr[,My Tici to enter upon the property for the purpose of inspection and,
if necessary, for postin a public notice on the ro ert . �j�- g- P P P y
Name: TUFT- 6aJ Y,7-,6 �„J y/ _
Address: Z'za42 COLL66 SL/!TF ';7ln7 r=T c� L�tilCE co
Telephone: 42'-1 ' rD2