HomeMy WebLinkAboutGEICO OFFICE BUILDING - Filed MA-MINOR AMENDMENT - 2015-03-27City of �eF
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Minor Amendment Application
Date Sub
Comments Due By: 1a U I I 'J
Minor Amendment # 60/3
Planner '�CtL126 LJV yt/
Effective Date 3 — 2- q -ZV 17
Form - Zoning Department
Project Name: &C-Ato Ovir-lL�-_ t3,JV qW-'1
Project Location (Street Address): Z,1V Z4 Ab*',Mr0W4 V4_>_
Legal Description:
General Information: List all property owners having a legal/equitable interest in the property (Attach separate sheets if necessary).
Owner's Name (s : 5e- /'tkkr,�' "VKV
Street Address: 't-�' I ; • City/State/Zip: 1 tt+�5 t
Telephone: `(��' Z21- �Z3p Fax:
[Applicant's/Consultant's Nam : IY4A SMVFV' Name of firm: ANLM'L S
Street Address: 74'f) LN c_ (nl� . R-UV City/State/Zip: tikt cot"Li-> 6V ioS Zs'
Telephone: Fax: q'jyt5. 18 3 Email: i�(;D. AJJ U2-s. ee"A
SUBMITTAL REQUIREMENTS:
1) Si& (Y) c spies of RECORDED plan (i.e. site, landscape, elevatio , 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 Minor Amendment application form and Transportation Development Review Fee
application form.
3) Application fee of $350 ($192.00 Minor Amendment Fee plus $158 Transportation Development Review Fee).
Note: an additional $250 fee is required if the Poudre Fire Authority needs to review the application.
MINOR AMENDMENT
Detailed descriptionn of the (change an/d_ reason(s)/f�or the request: / %kn,,y u`� qpW i %e✓'
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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 tiling 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 he 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 publicnoticeon the property.
Name (please PRINTT)): ...t-1&A Si�kt%` ` y� /' /' ,�--•
Address: —7� l/ Lx5 ►itl�i4� j G. b"� (.C/' �iv1 S, C� �l%S'!�
Telephone: !n - sy3 - I � Signature:
281 N. College Ave, PO Box 580, Fort Collins, CO 80522, (970) 416-2745 F: (970) 224-6134