HomeMy WebLinkAboutBLOCK 19 LOTS 1-6 BOHEMIAN OFFICE BUILDING 260 EAST MOUNTAIN AVENUE - Filed MA-MINOR AMENDMENT - 2011-03-30�of
t Collins
Comments Due By: 3 , Z- 9 , Z� 1
Minor Amendment # ,u q t �� D O b
Planner'
Effective Date
Minor Amendment Application Form
Date Submitted:__ i S - 2- c I
Project Name: 8 u h tuvt I o-n w
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Project Location (Street Address):n'l D,n h ,�
/� Minor Amendment Fee: $192.00
Legal Description: 13d� P vV\;ah
General Information: List all property owners having a legal/equitable interest in the property (Attach separate sheets if necessary).
Owner's Name (s)• I t
Street Address: Ave City/State/Zip: C
Telephone: 7 '7 le � Fax
Applicant's/Consultant's Name: (�U y�" Ch ✓i S ttVl(�n �wV�t�
( ve S Name of firm: Thjt G
Street Address: ( YU d City/State/Zip: 1 R S C C) S'b StS
Telephone: ft US - 71 D —j ' Z% Fax: `) 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) for the request:_ Ga(Et dddt h Qns PA
1,I- _11 1 r• t. & r
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): _ Lei ei hi,/rLA Ves
! Address:_ 4 7-0t..� , Pf-M 0 Pd . � �D � r 7 . Oa l h . f t 'n Po r%_r
70
Signature:
281 N. College Ave, PO Box 580, Fort Collins, CO 80522, (970) 416-2745 F: (970) 224-6134
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