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HomeMy WebLinkAboutBLOCK 145 LOT 4 309 EAST MULBERRY STREET - Filed MA-MINOR AMENDMENT - 2009-06-15City of Fort Collins Date Submitted: Comments Due By: 9, `I -t 3 -04 Minor Amendment # M 1'} t74OOO I �- Planner��a%�� Effective Date �4 ' t 3 � °q Minor Amendment Application Form vis.',;:\s L4-6 0 f Project Name: CO Project Location (Street Address): �}-. Minor Amendment Fee: $192.00 Legal Description: General Information: List all property owners having a legal/equitable interest in the property (Attach separate sheets if necessary). Owner's Name (s): Street Address: City/State/Zip: rT44- (e ns O 2-0�5-2 5 Telephone: q —02 tj `-{QZ Fax: Applicant's/Consultant's Name: Street Address: Telephone: Fax: Name of firm: City/State/Zip: Email: /lckh:eAarry,©�caW.cc��f �p 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 ME�NDMENT Detaile �enpt lf the change and reason(s) for the request: C4nveAi- Y'2PGGiP/I�t7C I i �/101i/u� �2 L n n nA vv1 A/ i �� .�1; �n ['ten rD n n n a�/ / �� ✓� lD, /A ?�1/G//LtA 1 ✓% ` f�2 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. L Name (please PRINT): (, ylie,, -Fa)"n Address: Telephone: Signature: �2�J Signature: ^ 281 N. College Ave, PO Box 580, Fort Collins, CO 80522, (970) 416-2745 F: (970) 224-6134