HomeMy WebLinkAboutJAX MERCANTILE COMPANY PHASE 2 1200 NORTH COLLEGE - Filed MA-MINOR AMENDMENT - 2010-10-25 (2)Ft of
Comments Due By: 3_
Minor Amendment 4 16762o0 16
Planner
Effective Date /Q o
Minor Amerlulit...Ylt Application Form
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Date Submitted: � �-�'�� - �e � e
Project Name: / kv Xt P, e- c G-/ 11, / e
Project Location (Street Address): % Z LJ�"i /,Va / t C e&Z- el' Minor Amendment Fee: $192.00
Legal Description:
General Information: List all property owners having a legal/equitable interest in the property (Attach separate sheets if necessary).
Owner's Name (s): Ti, n? Q U :'n %;! 7_& ef. T i X 1- ,r—
Street Address: go 130 ,Z y I 1 ' City/State/Zip: V d e e e Ir / Z
Telephone: %)Q y 9 �! — 3 � ,J L% Fax: j' 70 —,;I f' ,F— 2 ! Sq- Y'
Applicant's/Consultant's Name: O U .4 i'� r h s Name of firm: 4 er &
Street Address: „- 6 S G A City/State/Zip: L O B p/ > y G 0 f j
Telephone: % 70 ",� ` L�$ 7 6 Fax: j 70 6 ES ._ ; jJ §73 Email:
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) fdr the request: C_ n
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CERTIFICATION
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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
�1 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
p necessary, for posting a public notice on the property. �j
Name (please PRINT): ! > C) J e / i` 1( el ' , 0 -
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Address: 3 S>, o j- ( J3 % 4 el 5; Py
Telephone: 1 �r ��� Dy ;2 Signature:
281 N. College Ave, PO Box 580, Fort Collins, CO 80522, (970) 416-2745 F: (970) 2.2:4-61314