HomeMy WebLinkAboutTIMBERLINE CENTER LOT 9 - Filed MA-MINOR AMENDMENT - 2016-03-18City of � Zonin
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Minor Amendment Application
Date Submitted: 0 ec- 20 2015
Project Name: Fersenius Medical Center
Project Location (Street Address): 2107 Timberline Road
Comments Due By: 1 `- 16 —1 5
Minor Amendment # M 0-150095
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Effective Date C7! • 22 f
Form - Zoning Department
Legal Description: Lot 9
General Information: List all property owners having a legatlequitable interest in the property (Attach separate sheets if necessary).
wner's Name (s,: Dunham Trust Company, Custodian of Patricia A. Lawser IRA and Dunham Trust Company, Custodian of David A Lawser IRA
Street Address 241 Ridge Street, Suite 100 City/State/Zip: Reno, NV 89501
Telephone: 970-481-0123
Fax: david.lawser.b7cb@statefarm.00m
pplicant's/Consultant's Nam : Beau Embree Name of firm: Fmbree Asset Group, Inc
Street Address: 4747 Williams Drive City/State/Zip: Georgetown TX 78633
Telephone:
512-819-4791 Fax: 512-819-4757 Email: bembree@embreegroup.com
SUBMMAL REOUMEMENTS:
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: New ground up construction of a 7,660 Sq Ft.
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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 of inspection, and if
necessary, for posting a public notice on the property.
Name (please PRINT): Beau Embree n d C 41 /� OVA,. SV-4 , eo A
Address: 4747 Williams Drive, Georgetown, TX 78633
Telephone: 512-819-4791 Signature:
281 N. College Ave, PO Box 580, Fort Collins, CO 80522, (970) 416-2745 F: (970) 224-6134