HomeMy WebLinkAboutARBOR PLAZA PUD SECOND PIZZA HUT - Filed MA-MINOR AMENDMENT - 2010-06-04City of
F6rt Collins
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Comments Due By: (o. I Z. - 09
Minor Amendment # ,Gf A
Planner 6. L, Psz.
Effective Date J� , i y � ,
Minor Amendment Application Form
Date Submitted: &Z)y/09 . r
Project Name: 'PjZ.Z,y�, 44LAT'
Project Location (Street Address): 4G'7-3 is. ",Aso* / Minor Amendment Fee: $192.00
Legal Description:
General Information: List all property owners havnU"X0,Tsg
a le al/equitable interest in the property (Attach separate sheets if necessary).
Owner's Name (s): p'-R__t1r W1J��"{�_
Street Address: 3020 N• GyPRg.53 *k 100 City/State/Zip: _ 14)44 ) -rAr,,
Telephone:31(p &34 illy Fax:
Applicant's/Consultant's Name: M 1 iKE !40,L7- Name of firm: 401.!».4D0 GN DM dME
Street Address: 1201) ;-J. ,A6JJ ST *tD+A City/State/Zip: k1WJ*0J2. GD 80.5'3*0
Telephone: f) 70 to74 d Zaa Fax: 970 4,74 D4D Z Email: MIKE - 1iCJxZ @ T5G)iETGD. GdlN
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: 'ZF-P1.A,G£ l.!W05G,AE£ , 13iAl1JT-
FXTE-91,0 L , WSTA"L STDde- 0ER-'-Ei2)0A . jASTAQ. G'xloi`xr2' Nnd
��u�.TuRAL Ei�TR� FL£i�lgt�T 616A -. At)PALT- FARA)de, L.t>-T'
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): MWE dAP-1-7—
Address: 1D2,0 JJAJ3rd4S4-J 6-F. 4)D4 FjpVsj` GIJLAjk S Gb 60572ig
Telephone: gtV 217 }3Z3 Signature:_
281 N. College Ave, PO Box 580, Fort Collins, CO 80522, (970) 416-2745 F: (970) 224-6134
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