HomeMy WebLinkAboutBLOCK 31 LOT 2 REPLAT LOTS 1-49 200 WEST MOUNTAIN AVENUE GLOBAL VILLAGE MUSEUM - Filed MA-MINOR AMENDMENT - 2011-03-24City of
Fort Collins
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Date Submitted:
Comments Due By:
Minor Amendment # Mif tt 0M(b
Planner tt4_ A Mn.
Effective Date 3 - a3 - t l
Minor Amendment Application Form
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Project Name:_t%.& r 4- 16Q1 Vi I l oG e. 5 p n
Project Location (Street Address): � 00 tN, tit �t�htca�., 5u� C Minor Amendment Fee: $192.00
Legal Description:
General Information: List all property owners having a legal/equitable interest in the property (Attach separate sheets if necessary).
Owner's Name (s): [�' '� } u cZF 154,Q (;,•t S
Street Address: S 8eD City/State/Zip: �� . C-o� /n5 Gh k�� _-2-
Telephone: 97 O $ L/ l (Q - 2.Z 7 (o Fax:
Applicant's/Consultant's Name: 14e i 64� I\J Q 5 k Name of firm: 0 v r e5� Jo bKj V I 11 & /hlU-Se,,
Street Addressao0 /q/c 5w.,:f,C City/State/Zip: IC4 Cal I,"S Gd h ,0SQ I
Telephone: 9 70 a; j Fax: 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:
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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): ___flat, a
Address: ;417,0 W, ,�—As �_ 5o>� t r46o1 I , n S C O gusp, I
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Telephone: 7 O ' .� a I - —f (� J O Signature-- /, ,a %
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281 N. College Ave, PO Box 580, Fort Collins, CO 80522, (970) 416-2745 F: (970) 224-6134
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