HomeMy WebLinkAboutOAKRIDGE BUSINESS PARK THIRTYEIGHTH OAKRIDGE SENIOR CAMPUS - Filed MA-MINOR AMENDMENT - 2015-07-17City of
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Minor Amendment Application Form
Comments Due By: & i - _
Minor Amendment # M 15 rz i� y
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Effective Date
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- Zoning Department
Date Submitted: -;�o
Project Name: -!;keg Project Location (Street Address): 0nW— 71 1"�Oak Qr.
Legal Description:
General Information: List all property owners having a 1 gal/equitable interest in the property (Attach separate sheets if necessary).
wner's Name (s : ` take ! 7- e �fac C-
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Street Address: 1475b 01 5GK OG.ky�Qr, City/State/Zip: �iY 7 II11
Telephone: C170 - 207- 1t cty 939 Fax: t - X 7 - g 555
Vkpplicant's/Consultant's Nam : t'f an K 905s Name of firm:
Street Address: S�"nLe City/State/Zip:
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Telephone: -/ 70- XT /939 Fax: Email:
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 ei4t 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 signet Minor Amendment application form and Transportation Development Review Fee
application form.
3) Application fee of $350 ($192.00 Minor Amendment Fee plus $158 Transportation Development Review Fee).
Note: an additional $250 fee is required if the Poudre Fire Authority needs to review the application.
MINOR AMENDMENT
Detailed description of the change and reason(s) for the request:
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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;K4
operty.
Name (please PRINT): l .< C &C ke—,, z-
Address: -1q 56 OY�+i:� Cst`f Pr- l4 /C._ llie + 5.25
Telephone:p'Q7 ' (3� Signature: t�t�
281 N. College Ave, PO Box 580, Fort Collins, CO 80522, (970) 416-2745 F: (970) 224-6134
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