HomeMy WebLinkAboutLINDEN TECH CENTER - Filed MA-MINOR AMENDMENT - 2014-01-07City Of
Comments Due By:_ 271
Fort Collins Minor Amendment # —
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Minor Amendment Application Form
Date Submitted: 21 it I It
Project Name:CGNp� �c� •�•eS �LS�,t
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Project Location (Street Address): 4GD L -Je, � nQ
'N Minor Amend ent Fee: $192.00
Legal Description: 444( r..4 , Cv CC- 514
General Information: Lis all roperty wners avin a legall, ui ble interest i property (Attach separate sheets if necessary).
Owner's Name (s): t!�� �/9 ,�
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Street Address: 4 (0,0 L I. e q,
City/State/Zip:
Telephone: Fax: 'C
Applicant's/Consultant's Name: f �Ky1
Name of firm:
Street Address: �(�6 �i��K � �
b' City/State/Zip:
Telephone: 5 �- q+'(• C) Fax:1"20 - 4 GZ S` 1 e _n
Email: C10, 4P
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): e..,t, =C40J
Address: L4, 6n �t .
Telephone:
Signature:
281 N. College Ave, PO Box 580, Fort Collins, CO 80522, (970) 416-2745 F: (970) 224-6134