HomeMy WebLinkAboutTIMBERLINE CENTER - Filed MA-MINOR AMENDMENT - 2019-01-24 (2)J
City of Fort Collins Zoning Department Comments Due By: S- q - 09
281 N. College Ave, PO Box 580 Minor Amewdment # 17C�40 0 `_ 8-
Fort Collins, CO 80522 Planner
City of Fort Collins (970) 416-2745 FAX (970) 224-6134 Effective Date —1,r - OY)
Minor Amendment Application Form
Date Submitted: ri L
Project Name: l v � rl, ri e �g r -{ r -rt -Lade-)
Project Location (Street Address): IZAC' I ce.Q�l/t I�I�P ✓I-�r� tre Minor Amendment Fee: $192.00
Legal Description: -T1 mVVj- 1_nP C'e�� r. LC4- 14
General Information: List all roperty owners havin a legal/e uitable interest in the property (Attach separate sheets if necessary).
Owner's Name (s): GO R O �}CAq > j 4 I I
Street Address: �7� Fas Vtrl2 l,A-ree-4,, 5kOicity/state/Zip:�t� t oLVee-+ r!i tj V-&�'1 64 jo-7
Telephone: AA--270 -S1DO Fax: &I -?iV)-51f7
Applicant's/Consultant's Name:�2l Ad kk RRiel Name of firm: . r_-`I ,�,Ae1LYIC�t
Street Address: 'i W. OtMAG-NI gve. tJe- t l City/State/Zip: � A 01t1per, L/-O A0 V52 1
Telephoner '� Fax:~y�T� I�P�Z Email: 15WtGCfOn
SUBMITTAL REQUIREMENTS:
1) Six (6) 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 six plans or provide six copies of revised drawings showing the changes in
addition to the six originals;
2) Completed and signed application form; and
3) Application fee of $192.00.
MINOR AMENDMENT
Detailed description of the change and reason(s) for the request:.Ao A-k e e � _ram
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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): 4/-36?l1 old tv\C P ml J�lr V r--V, of M AS60-,.
Address: j wl_Qnovi V& cy l e-. JU i -f C
/�l[ �✓IC> e, ,
Telephone: (R ?O) Signature: a2 d
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