HomeMy WebLinkAboutFTC WALMART S MASON WTE VERIZON - BDR190005 - SUBMITTAL DOCUMENTS - ROUND 1 - APPLICATIONCity of
0 ktColli� DEVELOPMENT REVIEW:
APPL/CATION FORM
For Office Use Only
Date Submitted Current Planning File# Planner
Site/Area Information
Residential Area: __ Sq.Ft. Acres
Project Information
Project Name:
Project Description (Choose type of request from the list on the back): Commercial Area: Sq.Ft. Acres
Industrial Area: Sq.Ft. Acres
Mixed Use Area: Sq.Ft. Acres
Right of Way Area: Sq.Ft. Acres
Parking and Drive Area: Sq.Ft. Acres
Stormwater Detention Area: Sq.Ft. Acres
Landscape Area: Sq.Ft. Acres
Open/Other Areas: Sq.Ft. Acres
Major Cross Streets: Gross Area: Sq.Ft. Acres
Zone District: Floor
Area Ratio:
Gross Density: Net Density
Parcel Number:
.
Building/Unit Information
Owner Information
Residential: Square Feet Name:
Commercial: Square Feet Address:
Industrial: Square Feet City:
State: Zip:
Building Floor Area Ratio: Phone: Email:
Platted Area:
Number of Units: A��licant Information
Single Family Attached: __ Single Family Detached: Name:
Two Family: Multi-Family: Organization Name:
Contact:
Total Number of Bedrooms Rented Separately:
Address:
Dates: City State: Zip:
Phone: Email:
Conceptual Review Meeting Date Preferred Method of Contact:
Neighborhood Meeting Date
Hearing Type
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 real property, as those terms are defined in Section 1-2 of the City Code (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 could 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 of public notice on the property.
Name (Please PRINT): _____________________________ _
Address: __________________________________ _
Telephone: ____________________________ _
Signature: (and title showing authority to sign, if applicable)
� CERTIFICATION MUST BE SIGNED.¢:,
Community Development & Neighborhood Services- 281 N College Ave- Fort Collins, CO 80522-0580
Location Description/Project Address: