HomeMy WebLinkAboutNORTHSIDE AZTLAN COMMUNITY CENTER - Filed MA-MINOR AMENDMENT - 2015-07-24 (2)City of
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Minor Amendment #
Planner N oa k LS
Effective Date
Minor Amendment Application Form - Zoning Department
Date Submitted: :14- 1D15
Project Name:
Project Location (Street Address): -f , 0 e /[h.,5
Legal Description: NO A 5 fdqlI, 26t, 11401 Yr>qV_ Par%
General Information: List all pro er owners having a legalle citable interest in the property (Attach separate sheets if necessary).
[owner's Name (s : �.fr� D D✓� �O�/lw5 t (���5NYt 1
Street Address: _ /S l3�x Cj �� City/State/Zip: /I_ iy� �Q 8p5:1 te_
Telephone:_! ?7
pplicant's/Consultant's Nam ���/q fc-!5 />ncr Name of firm:_- F�.`j�
Street Address: �� �6X 5�O City/State/Zip: /t'ar7� Co�/t t9 lei/Q}o�
Telephone:_ ?Q —��/--�03(�'7 Fax; Email: .40-��
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 81/2" 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: -f 6W
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CERTIFICATION
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ify 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
nowledge, consent, and authority of the owners of the property (including all. owners having a legal or equitable interest in the real property, as
ed 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
lly be accomplished. Pursuant to said authority, I hereby permit City officials to enter upon the property for the purpose of inspection, and if
l�sary, for posting a public notice on the
property.
OName (please
19cX 70 —2z1 �3L?Telephone:— Signature:
281 N. College Ave, PO Box 580, Fort Collins, CO 80522, (970) 416-2745 F: (970) 224-6134