HomeMy WebLinkAboutSYMBIOS LOGIC OFFICE BUILDING - Filed MA-MINOR AMENDMENT - 2013-08-02 (2)Comments Due By: � 2-S �o a
6�City of Fort Collins Zoning Department Minor Amendrp�nt #6 d S
9281 N. College Ave, PO Box 580 Planner C S
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Fort Collins, CO 80522 Effective Date? I
City of Fort Collins (970) 416-2745 FAX (970) 224-6134 ys J17117 J
Minor Amendment Application Form
Date Submitted:
Project Name: M W\, 12
Project Location (Street Address):
Legal Description:
QJ Minor Amendment Fee: $192.00
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General Information: List all property owners having a legal/equitable interest in the property (Attach separate sheets if necessary).
Owner's Name (s):
Street Address: City/State/Zip:
Telephone: Fax:
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Kau", , VIC Q, CO) Name of firm: J ' �-V ``t'�'
Applicant's/Consultant's Name: `� ^ ^ Dom, Z
`i'O .'J21A` & JW C' tate/Zip: A `I% a C �
Street Address: Ls 6
2 .�'� � Email:
Telephone: 33 ' �`� Z Fax: 7iJ
SUBMITTAL REQUIREMENTS:
l) 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 l f
Detai4 description of
pe
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 in ling this application, I amproperty,
acting tywith
the knowledge, consent, and authority of the owners of the property (including all owners havinga legal or- equitable interest in the real ro er 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): V t Pam% t �^— V._V2�=,L,
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C) Address: L.L (f �✓
ignature:
Telephone:S