HomeMy WebLinkAbout4601 CORBETT DRIVE OPEN RANGE WILDWOOD FARM - Filed MA-MINOR AMENDMENT - 2010-11-22Cit/""�'� 0� Comments Due By: D
y Minor endment . "' l
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Minor Amendment Application Form7,1
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Date Submitted: Y
Project Name: r INT C)
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Project Location (Street Address): 1 C/ .d(Ut4"} _iM \ff_ Minor Amendment Fee: $192.00-
Legal Description: 5 n _rOU 7_09
General Informatio • List all property owners havin awl/equitable interest in the property (Attach separate sheets if necessary).
Owner's Name (s):A ]'dirt UA,ldl�- l
Street Address: I A,21 �rr City/State/Zip:
Telephone:-t 7 ` Fax: fit' i
Applicant's/Consultant's Name: �_ a— "�" '' l Nameof firm:&�.en V1.
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Street AddressI nl `� � �.nfka6D City/State/Zip. c
Telephone: 61t3- 0 L3 Fax: V�s / 6 Email: c�Git,�r� t��l✓t� SSW"<< 1
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:
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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 on the property. t
Name (please PRINT): r lN' �� �I
$'t 01) o4 n Ui 1 Ct7 t 1
Address: QQ��-•
Telephone: o'ts' -t by CP AA Signature:
281 N. College Ave, PO Box 580, Fort Collins, CO 80522, (970) 416-2745 F: (970) 224-6134