HomeMy WebLinkAboutEVANGELICAL COVENANT CHURCH PUD PHASE 2 - Filed MA-MINOR AMENDMENT - 2005-04-19Comments Due By: 4 Vic"
City of Fort Coll ins Zoning Department _
81 :ti_ C011eec Ave. PO Box 5go Minor.4mendment4 fl-I/4-011139
Planner
�r Fort Cohn Co 806'-' Lf ective Date
City o£ Cnrt Collets (970) 416 2745 FAX (970) 224-6134 �
Minor Amendment Application Form
Date Submitted:
Project
Project Location (Street Address):
Legal Description:
Minor Amendment Fee: S192.00
General Information: ,J- ist all prop Htv ose r thaung a Ie,Qal,egttitable interest in theproperty (Attach separate ,sheets if necessary).
Owner's Name (s)• ,_2�6� �6�� ,Y _ _ p //�� _
I c Q 9C�1 th5 �(i �C �J
I Street Address: �� � p r�.J L���.� C city/State/Zip:' �. 5___
Telephone: 9%D-,_j_(l'�
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Applicant's/Consultant's Name: d[:�J' 1'nbtLS—' �L _ Name of tirm:(tAI000S
Street AddressU_ S6U�.G(� �'` Crt /State/Zip: 1. rCtv��i.71"1_S
Telephone:�7� _�_�.�� C'���-- Fax: ���'-o�o��-C%�� mat(• �f-�tCtf (`! f ,i`.C.
SUBMITTAL REQUIREMENTS:
1) Six (6) copies of RECORDED plan (i.e. site, landscape, elevation, etc. - wbichever is being altered) on
24" x 36" size (usual]% available at the Technical Services Department at 281 N. College) — RED -LINE
TI IF CI IANGES ON the sit 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 S192.00.
NUNOR AMENDMENT
Detailed descri ton of the change and reason(s) for the request:
`/
3 - JS c� rn )�_`-55, 3aUQID -Co I
CERTIFICATION
I ceniP the inlbrmation nod erhibits submitted arc true and correct to the best of my knowledge and that in 5iine this application. I am acting with
the onsent, and authorit% of the omncrs of the propert} linciudino all owners having a leeal or equitable imerest in the real property. as
defined in Section I-' oRhe ( it, Code: which is the sub'-ct ofthie application) without whose consent and authority the requested action should not
lawfull_: be accomplishe(. Pursuant to raid authority, I hcrcb_v permit Cin, ofticials to enter upon the property for the purpose of inspection, and if
necesnrv. for posting a public notice un the propem-.
Same (please PRINT) _ V LI ICU 11 IN ,._ lJl
)I 1�k',l I _
.Address. �) r�J
Telephone:--_
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Signature:_,
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