HomeMy WebLinkAboutE DRAKE RD AND STOVER ST - MINOR AMENDMENT - 2/16/1994PLANNING DEPARTMENT
APPLICATIION FORM
City of rvrt Collins MINE
Project Name: !"
Ct�S� �� Trw e Pu Land Use Information:
Gross Acreage/Square Footage: Z•/A ,4G 95 o47 S,C
Project Location (Street Address): L�akc wed S��c.� S1 ,
Existing Zoning:
Project Description: Dd/•1t Proposed Use: «•t/a f2%
Total Number of Dwelling Units: ti NA.:
Today's Date: Z /� �9¢
—�� Total Commercial Flood Arear__
GENERAL INFORMATION: List all owners having alegal/equitable Name: idni /
m ercsi in the property: Applicant's/Consultant's /
Owner's Name(s): ��i�i7r) /%%y/L�� Street Address: ll7 EQC4
Street Address: City, State, Zip:�ii� w��ti3 �o R�SL4
City, State, Zip: _ �y�jy$ /'O bOSL/ Telephone: Telephone: Telephone: - -7-2g —SA 2A
Please indicate the t ofa application submitted b checking the box preceding a REQUEST s . Combined requests require the combined individual fees.
type PP Y g preceding appropriate q () q q
Make checks payable to the City of Fort Collins. Starred requests (•) also require additional payment to Latimer County Clerk and Recorder in the amount noted.
Additional handouts are available explaining information requirements for each of the following review processes.
XI PUD Admiiiisfraiive Change
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PUD ADMINISTRATIVE CHANGE
Description of the change and reason(s) for the request:
Planning-"
Action: _y
Date:
By:
Building Inspection'
Actiow,
Date:
By. _
Engineering,,,,,,.
Action:
Date:
By:
Other (if applicable)
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 permit City o11 ' Is to enter u on ttie property for the purpose of inspection and,
if necessary, for posting a public notice on the property.
Name: r l
Address:
Telephone: S'sr a