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HomeMy WebLinkAbout1015 SOUTH TAFT HILL ROAD T MOBILE - Filed T-TELECOMMUNICATION PLANS - 2015-01-22City of F6rt Collins /000� Minor Amendment Application Form Comments Due By: Minor Am ndment # fl1 I EZi Planner Effective Date - Zoning Department Date Submitted: b 16 / 2-o 9� KIS -S Tet('-( tj,% it 1?.>t C[tR4Avsyct rw-- ' Project Name: b N 0 3 % 2- 2 D i s f /7L�OL E I, to, �A Minor Amendment Fee: $192 Project Location (Street Address): I ©� �ST� T �l� Transportation Development Review Legal Description: (5z 2 5-ee r r� le 5 � o?f �4c'd ee(,) Fee: $250 (when applicable) General Information: /L_ist all property owners having a legal/eguitabl in�tgrest in the property (Attach separate sheets if necessary). Owner's Names : l� ct ar of �� et f G, z—c" Li- C" N 0' 1 Street Address: 6 Sov S . Ot,.zAL e_. c.. S�, # 3 OL;City/State/Zip: Ev� it ��,�/ �'' c C a ko / I I Telephone: [Applicant's/Consultant's Nam CAV^ i S. .S fek ( e-,y Name of firm: C S . L L- C Street Address: 7 i P► E, ry ✓d, �3U v City/State/Zip: De n V C U z Telephone: %1 `],'{ 71, 336"S' Fax: 303, 36.2, 70I0 Email: eaCpj-t-re le-sSL� J shoo. Fax: SUBMITTAL REQUIREMENTS:1 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 81/2" 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:w7— f / + c rc, �4 J c a t L eJ ca rJ "—vt,. , ✓t h e % IIIII // tivi'Z ( ad-"y �+'1 I �s ���U s � r h A S%%%%T��.c C �o ( 6%:R?�rii S ,P CN c t TUr % cti c�, v CI 4�: A titit e� /� C"V(• C G-- / [— 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): CIL 1 s S f_4I e'v Address: Telephone: 71 ✓�. #30o L iJe-y1. e"- CC) 3 0 47t. 3 -3Gs /J i Signature: 281 N. College Ave, PO Box 580, Fort Collins, CO 80522, (970) 416-2745 F: (970) 224-6134 vl'4f