HomeMy WebLinkAboutFAIRWAY ESTATES MOOSE LODGE 4820 SOUTH COLLEGE AVENUE - Filed MA-MINOR AMENDMENT - 2009-02-18City of Fort Collins Zoning Department
281 N. College Ave, PO Box 580
Fort Collins, CO 80522
itv of Po�°l (970) 416-2745 FAX (970) 224-6134
Comments Due By: 1 a-- 9-`1 •o fr
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Planner
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Effective Date-(�-``--
Minor Amendment Application Form
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Project Name: M ?(2 L � qe
Project Location (Street Address): ��2"0 S, (�''(J{`(i/G� ��
Minor Amendment Fee: $192.00
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General Information: List all property owners having a legal/equitable interest in the property (Attach separate sheers if necessary).
Owner's Name (s):. CVlUcc 4rlyuo 0c (Ay) 0.G� Y}j -(V�Q,
Street Address: _- Z('L C , � '�'dc'Q
C I lkG2 City/State/Zip:E
Telephone:_. Fax:
Applicant's/Consultant's Name: C1( ,Y(, k
Name of firm:
Street Address: -SLty LYl City/State/Zip: i
Telephone: 229 921 Fax: 2,2�, ZC`{(.' Z
Email:
SU'B 41-4 REQUIREMENTS:
1) Six (6) copies of RECORDED plan (i.e. site, landscape, elevation, etc. - whichever is being altered) on
24" x 16" 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:TvLel ex
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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.
Name (please PRINT):