HomeMy WebLinkAboutCREGER PLAZA SECOND REPLAT LOT 8 3761 SOUTH MASON - Filed MA-MINOR AMENDMENT - 2011-01-14F6rt Collins
Comments Due By:
Minor Amendment # L 0 n n /
Planner
Effective Date
Minor Amendment Application Form
Date Submitted: •11�)£GM_� -_� q 2 a to
Project Name:_Fu`L Trio t-le . nF7�4prose
Project Location (Street Address): 31(ok S, MASCv J $'r /2NOKrr Minor Amendment Fee: $192.00
Legal Description: L.cr 6Caree a2 {�La a S' bit;,v IS t.o
General Information: List all property owners having a legal/equita
Owner's Name (s): Jcs,t� ble interest in the property (Attach separate sheets if necessary).
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Street Address:5220 $cannxl IDa-;s { City/State/Zip: s —
Telephone: 9-70 _41a( •-tj44(p Fax:
Applicant's/Consultant's Name: sSeAA 3, Name of firm:
Street Address: _42.k 9 yJ tpq,J S. City/State/Zip:—
Telephone: 970 - -Z,p ,3A ( Fax:
Email: �s� W
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: ivmi5
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co 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 ic
en the property.
Name (please PRINT). S�.
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Address: '42-t 9 } Y cS'�, 1 G f-4- c e� lll2S
Telephone:_ 9 70 - A 2Z ---4 3
Signature:
281 N. College Ave, PO Box 580, Fort Collins, CO 80522, (970) 416-2745 F: (970) 224-6134