HomeMy WebLinkAboutPARK CENTRAL PUD PHASE II REPLAT 1600 SOUTH LEMAY 7-11 STORE 26927 - Filed MA-MINOR AMENDMENT - 2009-03-11...,
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Comments Due By:_
Minor Amendment #
Planner_ 6
Effective Date AW!
Minor Amendment Application Form
Date Submitted: V;t 3%®
Project Name: %— f Jf,.K.)j #r .2 (,g;Z'7
Project Location (Street Address): l 600 �j. t 2,.^ a
Mi=AmendmentFee:
Legal Description:
General Information: List all property owners having a legal/egu'tahle interest in the property (Attach separate sheets if necessary).
Owner's Name (s): j< � DiZ �av,N r
4? 5 t�tzoA�'� oMa.+d�ye.ue►�e- .ram �
Street Addr 7 (op lQ U3 iy%Sta U:p0: Co �O S
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Telephone. ?0 a —O Fax: _ i%9 76> ;? �2 ' / 100
Applicant's/Consultant's Name:
Name of firm:
Street Address: City/State/Zip:
Telephone: Fax:
Email:
SUBMITTAL REQUIREMENTS•
1) Six (6) copies of RECORDED plan (i.e. site, landscape, elevation, etc. - whichever is being altered) on
24" x 36" size (usually available at the Technical Services Department at 281 N. College) — RED -LINE
THE CHANGES ON the six plans or provide six copies of revised drawings showing the changes in
addition to the six originals;
2) Completed and signed application form; and
3) Application fee of $192.00.
MINOR AMENDMENT
Detailed description of the change and reason(s) for the request: O e -M C i Si . C
gem 2 5i q� Nebel, �� �bwuccedj It N
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; which is the subject of this application) without whose consent and authority the requested action should 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 (please PRINT): S-"s,oA t-
Address
Telephone: b _ 22 A - Signature: �Ilrl IF-7/2.
281 N. College Ave, PO Box 580, Fort Collins, CO 80522, (970) 416-2745 F: (970) 224-6134