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HomeMy WebLinkAboutBLOCK 126 616 SOUTH COLLEGE AVENUE MAD GREENS WAFFLE HOUSE - Filed MA-MINOR AMENDMENT - 2010-02-18 (2)City of Fort Collins Zoning Department Comments Due By: k-- / - 9,�- /o 281 N. College Ave, PO Box 580 Minor Amendment /Ll 609OZ66 Fort Collins, CO 80522 Plannerel`e r r yes City of Fort Collins (970) 416-2745 FAX (970) 224-6134 Effective Date - P -1 Minor Amendment Application Form Date Submitted: g © reV % ,� (- l � 1 D Project Name: Project Location Street Address f ( ) 6 / �' � OD � � S � • Minor Amendment Fee: $192.00 Legal Description: _W A �-r C .0 t � General Information:is� 11 propesJ�}aving a legal/equitable interest in the property (Attach separate sheets if necessary). Owner's Name (s): ,tS) C� J / Street Address: r� v z I�' %� Q T T��,"� S S City/State/Zip: �J �L �%� (2,0 y o Z z� Telephone: A Fax: Applicant's/Consultant's Name: 14)A (t '�Q L� UJ 1 nJ Name of firm: Q C 7 (?Z AJ q-ji LU-7?b A. Street Address:^ l/ sr'LCoy® itate/Zip: / A e-0 VO Telephone:1^14 6 3 „ 9'Ap g Fax: LM- to (c 3 - � � Email: SUBMITTAL REOUIREMENTS: 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: 0 -U 1-5'7--2 /L4 boA rrL,-," H0J-LSE �A� L)s / tit a yl 5-C- 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): Address: Telephone: Signature: