HomeMy WebLinkAboutBLOCK 19 LOTS 1-6 BOHEMIAN OFFICE BUILDING 260 EAST MOUNTAIN AVENUE - Filed MA-MINOR AMENDMENT - 2011-03-30 (3)�of
t Collins
Comments Due By:_'3 2_ `) , 2v I l
Minor Amendment # 4- 0 0 O 01
Planner ' Le) �
Effective Date 9 I r
Minor Amendment Application Form
Date Submitted:_ { - 1 S _ 2 i
Project Name: 8 u h tm l o-n Cp0' w d
Project Location (Street Address): (I /I'1p� r Q Minor Amendment Fee: $192.00
Legal Description: p
General Information: List all property owners having a legal/equitable interest in the property (Attach separate sheets if necessary).
Owner's Name (s): JZDh1-A1(4tan a S
Street Address: 2 Q ICity/State/Zip: l r/b SZ7
Telephone: "I 70 743- Fax
Applicant's/Consultant's Named Ch✓�S(Ln �wver�
( ✓P S Name of firm: TAY, AlttnA
t 1,
Street Address: ( E {'p 4-0 6 City/State/Zip: 0 LQ 111 n �' .(D k-b
Telephone: G .3 - 1 D — I Fax: ? Q y�j �B (� `� Email:rk , G h Vi S fill S2n 9 n P �ttA ✓I _ �,�yl ,
_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: Cj O(E� l QnS 01t
o r fh and cSdu,�Gr .o..►d .�� /���� M 1.,1
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): ! Ve,s
Address:_ u Z0 PI-M 0 .� Q'. -P, /00 Et. 6110,f 00 t ps-s'
70
Signature:
281 N. College Ave, PO Box 580, Fort Collins, CO 80522, (970) 416-2745 F: (970) 224-6134
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