HomeMy WebLinkAboutPURA VIDA PLACE - Filed MA-MINOR AMENDMENT - 2014-10-28City of
F6rt Collins
/-V%- �-
Minor Amendment Application
DueBy,Q--
CommAndment
Minor #
�^
Planner - (L01
V
Z
Effective Date 4r,�
7-V %Z_
Form - Zoning Department
Date Submitted: LI U11-
Project Name: �� p 11f tip A ,,�� Minor Amendment Fee: $192
Project Location Street Address): s J
J ( � ) � o t'-.."L ' C . Transportation Development Review
Legal Description: _ Fee: $250 (when applicable)
General Information: List all property owners having a legal/equitable interest in the property (Attach separate sheets if necessary).
Owner's Name (s :sf..
Street Address: 13o Z 2n2.,s4 ,a
p?�1te
City/State/Zip:
r
Lv,cA ► :;4 - t � E G S133
Telephone:3d3021
Fax: "'3��1��--3iL
c:
art-ta, in)A �y�'�� LLL
[Applicant's/ConsultantlsNam:j��k-L,
Name of firm:
Street Address: 13..L R Zc'�aa
Dz.�VN-c
Cit /State/Zi
Y P �
,
( �
Telephone: 3='3'"�+�"taZ�
.3 3 ~1 i
Fax
2 -3[, S(-
Email:
SUBMITTAL REQUIREMENTS:
1) Eight (8) 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 eight plans or provide eight copies of revised drawings showing the changes in addition to the
eight originals. ALL PLANS MUST BE FOLDED TO 8 1/2" X 11";
2) Completed and signed application form(s); and
3) Application fee of $192.00 (or $442 if Transportation Development Review Fee required).
MINOR AMENDMENT
Detailed description of the change and reason(s) for the request: '��rbs;-n
�/ 4�s
.,v ctl l-ar`+ f -t a;►a.(�a.a S �. Ca .1.^L�t
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): C' 0f k S
Address:
3-Z
&4V'C
a —c,
Telephone:
I a 3 —
e 21
Signature:
C
281 N. College Ave, PO Box 580, Fort Collins, CO 80522, (970) 416-2745 F: (970) 224-6134