HomeMy WebLinkAboutGROVE AT FORT COLLINS - Filed MA-MINOR AMENDMENT - 2014-08-04 (2)F6rt
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Minor Amendment #j
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Effective Date /n "-� I Z.
Minor Amendment Application Form - Zoning Department
Date Submitted: — ._/_ "1 JL/
Project Name: GjrZ•pl%E /T f6K,4, "WljS `skit if 4AAW-00 ginor Amendment Fee: $192
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Project Location (Street Address): G�jy{-k,E ��£ wet'I'AtJn pvtba E p1L,Transportation Development Review
Legal Description: LK/I Iy av Txo tGt- A O F na rl y F THE Fee: $250 (when applicable)
General Information: List all property owners having a�lequita le ite interest in t e property (Attach separate sheets if necessary).
Owner's Name (s : S0PJPA770�1-'ice
Street Address: City/State/Zip: f -t, GoLL/NS , �� 9 D574
Telephone:.17 d . &I Cj Z , 21 Fax:
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licant's/Consultant's Nam : A( p1,,6N 12ESt 6N tArz- Name of firm:
Street Address: LfD/ GJ . M OyAiri17 IJ /� V12 # l — City/State/Zip:
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Telephone: 1742. Z7,4.5V24 Fax: _IIV. 2/1,11 . (46 _ Email: �rGVtf. Lm`oi✓Q p��(t�,�•,�S�pi,te
SUBMITTAL REQUIREMENTS:
1) Eight (8) 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 eight plans or provide eight copies of revised drawings showing the changes in addition to the
eight originals. ALL PLANS MUST BE FOLDED TO 8 1/2" X 11";
2) Completed and signed application form(s); and
3) Application fee of $192.00 (or $442 if Transportation Development Review Fee required).
MINOR AMENDMENT
Detailed description of the change and reason(s) for the request: 5 C
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):
Address:
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Telephone: 1? D . 2 24{. 5V2g Signature:
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281 N. College Ave, PO Box 580, Fort Collins, CO 80522, (970) 416-2745 F: (970) 224-6134
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