HomeMy WebLinkAboutW PROSPECT RD AND S TAFT HILL RD - MINOR AMENDMENT - 10/6/1988PLANNING DEPARTMENT
APPLICATION FORM
City of Fort Collins
Project Name: 7`a
' / � Land Use Information:
�� C� A,eL �S �C(-�L�
Project Number: A4Z Gross Acreage/Sq. Footage:
Project �f Location or Street Address: c7 `� Existing Zoning: r% � Proposed Use:
,
Today's Date:
GENERAL INFORMATION:
Owners Name: L,SC XE t 71)
Address: Zia S Z�q P/�.9K E
Telephone: oC=2 / — Q 0d
Total Number of Dwelling Units:
Total Commercial Floor Area: _
Applicants Name: f //�s�r�� V f}SSOr?7�T0�
Address: 43�- X/41< /<
Telephone: ��r/- a'7Z00
TYPE OF REQUEST:
Contact Person:
Address:
Telephone: a�z00
Please indicate type of application submitted by checking the box preceding appropriate request(s). Combined requests, except for Final
PUD and Final Subdivision, require the combined individual fees. No application will be processed until all required information is provided.
Additional handouts are available explaining information requirements for each of the following review processes.
Final Subdivision - more than 4 lots
Fee: $110.00 + $10.00 per sheet of plat
W and R-H Zoning
of
5/1987
*Please make check payable to Larimer County Clerk and Recorder.
PUD ADMINISTRATIVE CHANGE
Description of the change and reason(s) for the request: AMD Z/i,/ a � S � � /��//�✓bS �0� �i/�i9TE 4e/dE—S
Planning Department:
Action: ✓9 PP k 4'✓ C "0
Date: /a' — B
By: T-a—k Ad
Building Inspection:
Action:
Date: - k
By: j
Engineering:
Action:
Date: - 7
By:
CERTIFICATION
I certify that the information and exhibits herewith submitted are true and correct to the best of my knowledge and that
in filing the application I am acting with the knowledge and consent of the owners of the property without whose consent the requested
2n cannot Ipw,fully be accompl)shed.
Name:
Address: 3
Telephone: a ���