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HomeMy WebLinkAbout315 WEST OAK STREET A T & T ROCKY MOUNTAIN BANK - Filed MA-MINOR AMENDMENT - 2015-01-22City of ollins W F6rt C Minor Amendment Application Form Date Submtttea:_______-- y �tT� a t ArW Project Name: 1 Project Location (Street Address): 3 w f Comments Due By: Minor Ame dment #�— Planner�N , Effective Date - Zoning Department Legal Description: General Information: List all property owners having a lea equitable interest in the property (Attach separate sheets if necessary). Owner's Names : Imo_ �L- r /� Street Address: �V �Ai ©C,�A¢—_City/State/Zip: �0� � l.D���'1� Telephone: q� b �q 2 ' (. �- Fax: _ t �� a p� �� Name of firm: WM—Iicant's/Consultant's Nam u i C t City/State/Zip: Street Address: D 36q� Email: Telephone: �)o ��55 Fax: SUB [TTAL 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 eight copiesofretvised drawent at iN. ngs gs shlowing the cD-LINE THE hanges in addition to the CHANGES ON the eight plans or p g eight originals. ALL PLANS MUST BE FOLDED TO 81/2" X 11"; 2) Completed and signed Minor Amendment application form and Transportation Development Review Fee application form. 3) Application fee of $350 ($192.00 M Note: an additional $250 fee is required inorif the Poudre Fire Authority needs to revieAmendment Fee plus $158 Transportationw tDevelopment Review Fee). he application MINOR AMENDMENT w LL e Detailed description of the change and reason(s) for the request: lb(lb& T' �r � >K�L.{ CERTIFICATION ith best of my property, I certify the information and exhibits submitted of the property (including all owners havding a legal o equitablege and that in filing interest the real acting was the knowledge, consent, and authority and \� defined in Section of the Crsu ntto said authority, ity Code; which is the sI hereby permit City'offic als to ent rrsupon thetproperty for the purpose of inspection, and if lawfully be accomplished. shed. Pu t necessary, for posting a public notice on the prope Name (please PRINT): l �'� )X V Address: C b� r Li , �� �) Signature: Telephone: 281 N. Coll ege e Ave, PO Box 580, Fort Collins, CO 80522, (970) 416-2745 F: (970) 224-6134