HomeMy WebLinkAboutBANKCENTER SQUARE - Filed MA-MINOR AMENDMENT - 2015-07-16t►1 L V 1 wtnturcub uutr n
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Minor Amendment Application Form - Zoning Department
Date Submitted:
Project Name:_oFCGColleq v
Project Location (Street Address): 10 7 Semi �e/ese 14 tren��
Legal Description: lice '$UPVev t
General information: 'List all property owners having a legal/equitable interest in the property (Attach separate sheets if necessary).
wner's Name S . �!sww l.( e T�i
Street Address: 487o Rn t.R.,ne. Coed- 3f toy City/State/Zip: I'tt�iseu�ne _FL_ 32S oY
Telephone: Ko 7- �v y- 11 S-k Fax: Ai 14
licant's/Consultant's Nam : _ et4 Yf WorWe Name of firm: Tit a•,.r Ewa l�:i; R..L,. l ReJ 1e
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Street Address: '7 Zs eftlf LS' Yo0_ city/state/zip:lea wa�o1is ilJ tifdZtQ
Telephone: 317- 57q- 71/V Fax: 3t?_ �t3� (��S Email: _Mwet•��(eyQ {�e„r. ��(;r Ce„�
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-LM 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 description of the change and reason(s) for the request: 1^)e aL _?Pages I nj 4-0 A.,,
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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 edof inspection, and if
necessary, for posting a public
�notice
- /o/n the property.
Name (please PRINT): / s% Tr War *l�, (e u
Address: l Z.S G Co��� S�f•N. v: ,�a Too f-ftA • 4 0 1 i ! N fib Z?o
Telephone: 3 17 - 5'7q - '7 4 y $ Signature:--
281 N. College Ave, PO Box 580, Fort Collins, CO 80522, (970) 416-2745 F: (970) 224-6134