HomeMy WebLinkAboutEVERGREEN PARK FOURTH 1330 BLUE SPRUCE - Filed MA-MINOR AMENDMENT - 2011-02-17City of
Fart Collins
Date Submitted: 2—
Comments Due By: a -o - //
Minor Amendment # 1L ►4 1 t oXyt t
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Effective Date , Z - / Lt
Minor Amendment Application Form
Project Name:l,.ly�r,t t�xh1S
Project Location (Street Address): IS30 $U,,ri S ,r,E L 1 Minor Amendment Fee: $192.00
Legal Description: Urr l rye&-� aw- (:- ,� Ti-t ��-Ct4G
General Information: List all property owners having a legal/equitable interest in the property (Attach separate sheets if necessary).
Owner's Name (s)::�wwi�S
Street Address: X�:oto W�-LA SM!S DWv 1-J1iE City/State/Zip: Gg,T (z
Telephone(1'7j��4y��- pi$ Fax:
Applicant's/Consultant's Name: 14Ssty VA.�HgQ Name of firm:
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Street Address: _ZOY3 tit. City/State/Zip: 50'C-r CaU,-NS (Lp $05?4
Telephone: " P70 - 79-M - Z t-34 Fax: _ q_70 -qTS -%_7 '7Q Email:. SJM&ftG tIsCt�llsS�iSYVbuLT•rlsey t,
_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:, �l„ ttprta�Zl"�o9U
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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, 1 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: —C.6 R 7_16 i rk
Telephone: �"]� —l� ��y-7��o Sign
281 N. College Ave, PO Box 580, Fort Collins, CO 80522, (970) 416-2745 F: (970) 224-6134