HomeMy WebLinkAboutMAPLE HILL REPLAT - Filed MA-MINOR AMENDMENT - 2009-06-22Fort Collins
Comments Due By: G -1 J - 0 J
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Effective Date o
Minor Amendment Application Form
Date Submitted:
Project Name: 1`L ple Wit 5,6cliuicj,r-)
Project Location (Street Address): —t., b r,,,,^ fin, C6, bPA, Minor Amendment Fee: $192.00
Legal Description: l'I. Q(p W l=;rsh i� o IG+- � locks i °^�' 3
General Information: List all property owners having a legal/equitable interest in the property (Attach separate sheets if necessaty).
Owner's Name (s): }.l+„et-ti, i1tee LLc
Street Address:91lCo W. �uwle� ve l)r.;i l5 City/State/Zip: U�*Je_+Qw-, r0 801Z3
Telephone: 3ol- 4 74 - 9 8 5 8 Fax: 3 o' _ 4 ?g _ 9 g l cP
Applicant's/Consultant's Name:
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Name of firm: S
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Street Address: 1 +00 I,,.(. VZ
risl Ave.
City/State/Zip: �rstw;...f-cam
CO 8 O Z3 4-
Telephone: 72o-8`10-Olt 3 Fax: Teo-Slo-all 8
Email: bre,d 2-
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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: G fan Ily oe zes•i+yen
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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 publics notice on the property.
Name (please PRINT): ilkAD LEA1'Z
Address: j p Cie. CO Telephone:_ -72o- 81to- O 113 Signature:
281 N. College Ave, PO Box 580, Fort Collins, CO 80522, (970) 416-2745 F: (970) 224-6134 1