HomeMy WebLinkAbout2601 SOUTH LEMAY AVENUE A T & T - Filed MA-MINOR AMENDMENT - 2015-01-20 (2)Comments Due By ;
® Minor Amendment #
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Effective Date
Minor Amendment Application Form - Zoning Department
Date Submitted:
Project Name:
------------_-._-_ _ _ -__ Minor Amendment Fee: S192
Project Location (Street Address): Z(Dpl S Transportation Development Review
Legal Description:
CAD � Fee: $250 (when applicable)
General Information: List all property orrners having a legal Equitable interest in the propery• (Attach, separate sheets ifnecessar 0.
wner's Names '?:Z4, Q I Jrt ,g�- t [„�.� _
Street Address: _zG0 $, 4-G,y4y City/State/Zip: 6CT4t'.�i$. Gp-
Telephone: Fax:
�PPlicant's!Consultant's Nam j'('�jWj WA(,,);Xj*
Name of firm: LA=LC.
Street Address: i`Y3 (o S -
Telephone: 36S- $t�8- Cvbtv�v
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CitylState/Zip:
TZ-0- L.GO - ts-75`
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Fax:
Email: '�jWeQ i'f• iC4 GOWt
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:.::Wns p c(h�,y oF• ,� �
LTA i4.`e�.._,.�t oJ�'iy�tel a— G� �•v7's O.�I A S'f1 ,e,
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 o«ners haying a legal or equitable interest in the real property. as
defined in Section I-2 of the City Code: which is the subiect ofthis application) without whose consent and authority the requested action should not
taivfull; be accomplished. Pursuant to said authorin. I hereby permit City efticials to enter upon the propem, for the purpose of inspection, and if
necessary, for posting a public notice on the propert%
Name (please PRINT): TbM .) hu,-gC
Address: �`1"�([ g • t!� GV�Y
Telephone: ZOZ -SG b-(sbliC+ Sirna
28 i N. College Ave, PO Box 580. Foci Collins, CO 80522, (970) 416-2745 F: (970) 224-6134