HomeMy WebLinkAboutKENWOOD HEIGHTS BLOCK 4 LOTS 9, 10 AND 11 1124 WEST MULBERRY STREET - Filed MA-MINOR AMENDMENT - 2011-04-29 (2)City of
Fart Collins
Comments Due By: g-fit 3 -o--ii
Minor Amendment # 1�1 6 11 1 y
Planner �Qt2l 11
Effective Date c{ - 9-;';' tt
Minor Amendment Application Form
Date Submitted: 1 t-(^ 1( 3 _ /- /t
Project Name:
Project Location (Street Address): Minor Amendment Fee: $192.00
Legal Descri tion: W. \t2 } 0 Lod
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General Information: List all property owners having a legal/equitable interest in the ro er �' t OF- Ff
Owner's Name (s): a. ,5nt\ 4- N . P P tY (�ttach sel arate sheets if necessary).
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Street Address:-2.17 City/State/Zip: LtlyegmoTe C.� $-,>Fj''j�_
Telephone 720 Fax:
Applicant's/Consultant's Name: of S Name of firm: CD `oCAr)q C,;,^WtLf nC
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Street Address: - S t e-
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Telephone: _c1 fl- y y-Q� % Fax: Email:
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SUBMITTAL REOUIREMENTS
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: Cl)
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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): V e.0 r' eta__ C�'A - 5
Address:
Teleplror
281 N. College Ave, PO Box 580, Fort Collins, CO 80522, (970) 416-2745 F: (970) 224-6134