HomeMy WebLinkAboutBURGER KING AT RAINTREE PUD - Filed MA-MINOR AMENDMENT - 2019-08-21F6rtCollins"k
City of
Comments Due By: • / —/
Minor Amendment # / % GL� -1
Planner U ti�
Effective Date 341-111:81
Minor Amendment Application Form - Zoning Department
Date Submitted: -) L 5 1 l t
Project Name:gt�'4 W 7 ag, 15l.U2Z.( ri1- 1 iLi WLt
Project Location (Street Address): Z i'Q] '5i 'ji,4 L 1ftV S 57
Legal Description: �JttQC: 12 K-ibJ {F 00, N ?—Y-FL 4--T .Of- 77-PL-V a
General Information: List all property owners having alegal/equitable interest to the property Attach separate'shL% t ecessary).
lOwner's Names : J U � 1 bt#41 L`C U— 6—
Street Address: ���J D (� C 1 i~ l i'l K . �%�- City/State/tip: t3) u Q iLGZ , GD '� 6 3, 3
Telephone: 5t?3 "r2�j - 03DD Fax:
licant's/Consultant's Nam �_,J Name of firm: 1�Tom" A ao Gi%'j
Street Address: 15 S, L1 h S A*,q rz, City/State/7ap: - U, l -) Z
Telephone: 7() ' Z l `[� ' �"� 5 3 Fax: Email: S
SUBMITTAL REOUIREMENTS:
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: -Lz V 15 iL r:!- X (Jr b ZL t-7 L- LV �klvw S
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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 o the property. 1
Name (please PRINT): ll���4
Address: t 6 S � GY li s
Telephone: 1 LU ' Z1 S - 4 Signature:
281 N. College Ave, PO Box 580, Fort Collins, CO 80522, (970) 416-2745 F: (970) 224-6134
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