HomeMy WebLinkAboutNEW BELGIUM BREWERY FOURTH CHILLER BUILDING ADDITION 500 LINDEN STREET - Filed MA-MINOR AMENDMENT - 2008-04-11age
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a��ve, PO Box 5880522AX (970) 224-6134 00
Minor Amendment Application Form
tte Submitted: 17. • I G� .�-2
'oject Name:_ 1�r. , rUI-1 'R,vcc.'�i' ("fii 1 io ?x A
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'oject Location (Street Address): r-7n Iraq c, Minor Amendment Fee: $192.00
:gal Description: Ay'•''Q t,,o! L 1
eneral Information: List allproperty owners having a legal/equitable interest in the property (Attach separate sheets if neces ary).
tuner's Name (s): ��_ 1 1—
reetAddress:5W uNpp�� S�-¢¢>t� City/State/zip:
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Aephone: 970 4.ei¢ '71.+A Fax: !Vn ZZI 06_1g
aplicant's/Consultant's Name: _f its-r� L�,Z,g2�j Name of firm: t
reetAddresa: 40)__ �j ArzQ� .s� krLT Ci /State/zi
aephone:97n Z7 t3' P m i (cart j
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SUBMITTAL REOITIREMENTS•
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;
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:
CERTIFICATION
I certify the information and exhibits submitted are true and correct to the best of my knowledge and that in filing this application, Iam 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):