HomeMy WebLinkAboutPROSPECT TIMBERLINE PUD 2100 EAST PROSPECT ROAD SOUTHERLANDS 3500 SQUARE FOOT ADDITION - Filed MA-MINOR AMENDMENT - 2009-06-19px
City of
F6rt Collins
Comments Due By: f! 9_ q 5__;L0_ f
Minor Amendment # M d q OOOL tO
Planner &� ae _ <
Effective Date B — I6 09
inor,Amendment Application Form
Date Submitted: 4 ( 2-0 t 001 f —1 '3-Oq
Project Name: IV
Project Location (Street Address): 2� L d S Minor Amendment Fee: $192.00
Legal Description: 1-0sap_ci /Q
General Informatio roper own havi le aU ty�a interest in the property (Attach separate sheets if necessary).
Owner's Name (s): t/ < �+ /l
Street Address- City/State/Zip:
Telephone: 7 7 Fax:
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Applicant's/Consultant's Name:
Street Address: _� 1 �t""ii
Telephone: ,�_ /�,� /� )� Fax:
Name of firm:.Sd A
to/Zip: L—
Email: r I A t_ Q A, I, -
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
Dettaailleed description of the change and reason(s) four, the request:,
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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 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 notic o Ty.
Name (please PRINT :
Address:
Telephone: Signature:
281 N. College Ave, PO Box 580, Fort Collins, CO 80522, (970) 416-2745 F: (970) 224-6134