HomeMy WebLinkAboutLAKEVIEW - Filed MA-MINOR AMENDMENT - 2015-07-17zbni�:
F6rt of
Minor Amendment Application
Comments Due By:14
Minor Amendment # 4 0110-
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Effective Date /O.3 o•/y
Form - Zoning Department
Date Submitted: i� - Lanot
Project Name: .G.MVLGw SJ6Ot`�
Project Location (Street Address): 1HWK9 ft S• L�u"tAH � •
Legal Description: LOrC3 l'U2 l..Pk�ulF.w.
General information: List all property owners having a legal/equitable interest in the property (Attach separate sheets if necessary).
wner's Name s : vlZrytra�/ �I-�Gl �" S' 0 1
Street Address: g3a i7 E • GQ SGE«e' hLI 140OCity/State/Zip: ,�,-FI& Wd00 )11&41AA6 Go M 11
Telephone:3D; ZG13• 93PIT Fax: �+�3 'i�•17o•88u?
licant's/Consultant's Nam Name of firm: DG�1�11 �i
Street Address: 52l bt✓b'?�ft ST• � ZTZ L'(,City/State/Zip: t7gl%J '60 jSl'Zsoz�
Telephone: a03 +�K4 & Fax:lD;. JG• oR� Email: yat1� ��yn LSAh�ICt _c
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 81/21' X I V;
2) Completed and signed Minor Amendment application form and Transportation Development Review Fee
application form.
3) TAppl cation 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: f►. ,4 /a0 At
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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 amPctingwith
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): _
wva o F• t✓O�bsrskr PKI/v► _Qr�w:,�;, n��.� o �11
S ei�trPCC' I I--Y— i
Telephone: 303 2G0937T ' Signature:
281 N. College Ave, PO Box 580, Fort Collins, CO 80522, (970) 416-2745 F: (970) 224-6134