HomeMy WebLinkAboutPVH HEALTH SYSTEMS, HARMONY CAMPUS WTE (QWEST) - PDP - 16-99A - SUBMITTAL DOCUMENTS - ROUND 1 - APPLICATIONA
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OPERATIONS & ENGINEERING
DEN-554
ROOFTOP ANTENNAS
PROPRIETARY
Not for disclosure outside of QWEST Communications W ircicss
Do not distribute or reproduce without permission from QWEST Communications Wireless
9/27/00
Date: March 9, 2001
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Re: Qwest Wireless Site FTC-233
To Property Owner: Poudre Valley Health Care, Inc.
LETTER OF AUTHORIZATION
To Whom It May Concern:
The undersigned hereby authorizes Qwest Wireless, L.L.C., its attorney, agents or
representatives, to make application for any necessary zoning petitions including the
filing of building permit applications.
Very truly you
Representing Qwest Wireless, L.L.C.
✓:
Owner
SFAX)
Property Owner or Representative (Date)
Witness:
Submittal Checklist
Wireless Telecommunication Services Equipment Review (PDP/1)
The following information is required to be submitted, unless waived, with all
applications. Any item waived must be dated and initialed by a planner with the City of
Fort Collins Current Planning Department.
_�<— Application form and $200.00 filing fee (plus .50 cents for each APO label).
Two (2) lists of names and addresses of all owners of record of real property
within at least 500' of the property lines for the parcel of land for which the
project is proposed, exclusive of public right-of-way. (One (1) list typed on
mailing labels (33 names per sheet) and the other list on a reproducible copy of
those labels.)
Legal description of property (2 copies) on 82-x11" sheet.
_>e_ Planning Objectives (16 copies)
Architectural elevations (5 copies) (folded).
_ Site plan (16 copies) (folded)
X_ Other information Director may require:
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MINOR AMENDMENT 4^Z1
Description of the change and reasons(s) for the request:________ — ----------------------- City of Fort Collins
APPROVALS:
Planning
Action:
Date: -------- ----------- By:
----------------
Building Inspection
Action:
Date:----------------------------------- By:
Engineering
Action:
--------------
Date:
Other (if applicable):
CERTIFICATION
I certify the information and exhibits submitted are true and correct to the best of my knowledge and that in filing this application, 1 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 102 of the City
Code; and including common areas legally connected to or associated with the property 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): Brad Johnson
Address: 4301 E. Colfax Ave., Roan 314, Denver, CO 80220
Telephone: (720) 351-9667
Signature:
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Preliminary Subdivision Plat
Fee: $1,3120.00
Final Subdivision
Fee: $2,176.00
EFFECTIVE 11112000
❑ Modification of Standards
Fee: $200.00
CERTIFICATION ON REVERSE SIDE MIST BE SIGNED. a
Plat
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Today's Date 5/17/01
For Office Use Only; Effective Date
Current Planning File 4 6-4106v Planner
Project Name: Ow c Wi rel cc — Po rrlre Valley ey Hocp i t-al
Project Location (Street Address): 2121 E. Harmony Rd.
Project Description: Proposed new rooftop CMRS facility
See attached Letter of Intent
General Information: List all property owners having a legal/equitable interest
in the property (Attach separate sheets if necessary).
Owner's Name (s): Poudre Valley Hoppital
Street Address: 2121 E. Harmony Rd.
City/State/Zip: Ft. Collins, Co 80528
Telephone: (970) 287-6002 Fax:
Current Planning Department
Application Form
Land Use Information:
Gross Acreage/Square Footage: Lease area = 150 sq. ft.
Existing Zoning: HC Proposed Use: CMR.S Faeili
Total Number of Dwelling Units:
Total Commercial Floor Area:
Applicant's/Consultant's Name:
Brad Johnson
Name of firm: Qwest Wireless LLC
Street Address: 4301 of fax Ave_ F Room 314
City/State/Zip: Denver, CO 80220
Telephone: (720) 351-9667 Fax: (303) 398-8497
Type of Request Email: bwjohn3@q`aest.cont
Please indicate the type of application submitted by checking the box preceding appropriate request(s). Additional handouts are available explaining
submittal requirements for each of the following review processes.
❑ Annexation Petition with Initial Zoning REQUESTED ZONE:
Fee $1,188.00
❑ Rezoning Petition REQUESTED ZONE:
Fee $977.00
❑ Overall Development Plan (ODP)
Fee: $1,599.00 + $.50 for each APO label
❑ Project Development Plan (PDP) without Subdivision Plat
Fee: $3,887.00 + $.50 for each APO label
❑ Project Development Plan (PDP) with Subdivision Plat
Fee: $5,879.00 + $.50 for each APO label
❑ Final Plan without Subdivision Plat
Fee: $1,000.00
❑ Final Plan with Subdivision Plat
Fee: $1,000.00
❑ Minor Amendment
Fee:$192.00
❑ Major Amendment
Fee: $3,206.00
❑ Non -Conforming Use Review
Fee: $1,389.00
❑ Vacation of ROW or Easement
Fee: $5.00 per sheet of filing document
121 Small Project Fees
Fee: Varies -Check with the Current Planning Department
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❑ Street Name Change
Fee: $5.00
❑ Extension of Final Approval
Fee: $566.00