HomeMy WebLinkAboutCOACHLIGHT PLAZA REPLAT - Filed MA-MINOR AMENDMENT - 2012-08-21FIN.
ort Collins Zoning Department Comments Due By:
lege Ave, PO Box 580 Minor endment #s, CO 80522 Plann `?City of Fort Collins 745 FAX (970) 224-6134 Effectiv to
Minor Amendment Application Form
Date Submitted:
Project Name: Go AG fi W 54+T ,arp 9-k*44rs
Project Location (Street Address): 0 6WL SI uC,r��2 1 r-C, Minor Amendment Fee: $192.00
Legal Description:
General Information: List allproperty owners having a t,�a1/egrritahle interest r the proper7v (Attach separate sheets ifnecersnr}).
Owner's Name (s): AN IP 140&
Street Address: _ Jrj5C ag f tex 120 City/State/7
Telephone 4ft — ]"_Z__ Fax:
Applicant's/Consultant's Name: 5��& Mole- 1` ame of firm:
Street Address: �] t Q .10 �� r d.i�rity/State/Zip: �_ DW LJS tv!� 86r225
Telephone: %� �. Fax: e077 _q191 Email: 1 1%A Lp )L,%ryUDC IA/10�4r
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:
CERTIFICATION
I certify the inforniation 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): _ /►� rr liy�'�V�/� ����G
Address: +7 I() � . eSo u io 1t daw [�� / / �► /. w.iis J/—t — / �►--/.�w�.iis .1
Telephone:_ f�/7' E',/���' Signature:.
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