HomeMy WebLinkAboutTOWER SHOPPES PUD LOT 2 FIREHOUSE EXPRESS CARWASH 3500 SOUTH TIMBERLINE ROAD - Filed MA-MINOR AMENDMENT - 2011-07-14 (2)Fort Collins
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Effective Date
Minor Amendment Application Form
Date O�
Submitted::-- �'- ' / /n rcu; S ,'v'^s
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Project Name: & �,605�- P1' sJ -r✓ '� 4S'. 1
Project Location (Street Address): 50# T
Legal Description: ( OW0.
Minor Amendment Fee: $192.00
General Information: List allproperty owners having a le al/e uitable interest in the property (Attach separate sheets if necessary).
Owner's Name (s): Jip% 60fA 0A,
Street Address: 152 rA AA 4 City/State/Zip: PTedI, i (16 q-kLI
Telephone: 076--22=:771 —1 Fax:
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Applicant's/Consultant's Name: �C7[.ti C� Name of firm: �al /�� ee r %
Street Address:
Telephone:
Fax:
City/State/Zip:
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): �.Loyyf V ,���/L�1//
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Address:
Telephone: "I%i���G-���(�1�Signature:
151
281 N. College Ave, PO Box 580, Fort Collins, CO 80522, (970) 416-2745 F: (970) 224-6134
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