HomeMy WebLinkAboutEVERGREEN PARK LOT 16 BLOCK 4 - Filed MA-MINOR AMENDMENT - 2014-01-03t
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Comments Due By:
Minor Amendment # __�
Planner_ j� , /� It A - «-
Effective Date_ 0L - & - t
Minor Amendment Application Form
Date Submitted: l — / 3_1 /
Project Name: L.11f (6 131 4 g�
Project Location (Street
Legal Description:1�1
Minor Amendment Fee: $192.00
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General Information: List all property owners ving a legal/equitable interest in the property Owner's Name (0: N/�(Attach separate sheets if necessary).
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Street Address: [s�> c City/State/Zip:
Telephone�Js�— %�� Fax: _ '
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Appitcant s/Consultant's Name:
Name of firm:
Street Address: City/State/Zip:
Telephone: 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: J�9 X 4 Z
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,alegal or equitable interest in the real property,
defined in Section 1-2 of the City Code; which is the subject of this application) without whose consent and authority the requested action shou d 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.
281 N. College Ave, PO Box 580, Fort Collins, CO 80522, (970) 416-2745 F: (970) 224-6134