HomeMy WebLinkAboutSIDEHILL FILING ONE - Filed MA-MINOR AMENDMENT - 2010-06-03of
City Collins
Comments Due By: 6 -1- l0
Minor Amendp�V kth 100XYJ-
Planner
Effective Date
Minor Amendment Application Form
Date Submitted:
Project Name: 5, J
Project Location (Street Address): Minor Amendment Fee: $192.00
Legal Description: Lo +
General Information: List all property owners having a legal/equitable interest in the property (Attach separate sheets if necessary).
Owner's Name (s): pan �Z► C �'fk r1 �c,�rc�r� Co n S }-��L�lo
Street Address: Z103 Ka 1-' h,!; City/State/Zip:
Telephone: ^�170) �j y_ 1 �b0 Fax: (Ma) ZO `7` 0900
Applicant's/Consultant's Name: 5A tii1_: As A8o (JE Name of firm:
Street Address:
Telephone:
Fax:
City/State/Zip:
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: 11o U -,n ai_ Nc, <-4 MoS
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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 notice on the property.
Name (please PRINT): a &--,
Address: FO S3D7< 7---1-0
Telephone- Signature:
281 N. College Ave, PO Box 580, Fort Collins, CO 80522, (970) 416-2745 F: (970) 224-6134
IAL PLAT
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