HomeMy WebLinkAboutNE PROSPECT & I-25 ODP - MA210006 - - APPLICATIONMinor Amendment Application Form - Zoning Department
The requested information on this application is required.
SUBMITTAL REQUIREMENTS:
1)The initial submittal and additional rounds of review shall be electronic (please email all materials to
DRCoord@fcgov.com) of the site, landscape, elevation, etc. - whichever sheets are being altered. A Legal
Description is required. Changes on each sheet should be clouded.
Once all departments approve the proposed changes a Final Hard Copy will be required to be printed on 24”x36”
Mylar sheets. Please ensure the electronic submittal can be printed to scale on 24”x36” sheets.
2)Complete and sign Minor Amendment application form and Transportation Development Review Fee application
form (TDRF). The following link is to the TDRF application form:
https://www.fcgov.com/engineering/pdf/TDRF2012applicationform.pdf?1365616099
3)Application fee of $350 ($192 + $158 Transportation Development Review).
Note: an additional $250 fee is required if the Poudre Fire Authority (PFA) needs to review the application.
Typically, PFA fee is required for all changes of use, building additions and/or new buildings.
MINOR AMENDMENT
Detailed description of the change and reason(s) for the request:
___________________________________________________
Date Submitted:________________________
Comments Due By:_____________________
Minor Amendment # ____________________
Zoning Facilitator:
___________________________________________________
Effective Date:_________________________
THIS BOX IS FOR OFFICE USE ONLY
Project name:________________________________________________________________________________________________
Project Location (Street Address): ___________________________________ ___________________________________________
General Information: List all property owners having a legal/equitable interest in the property (Attach separate sheets if necessary).
Owner’s Name (s): ___________________________________________________________________________________________
Street Address: ______________________________________ City/State/Zip: ___________________________________________
Telephone: __________________________ Email:__________________________________________________________________
Applicant’s/Consultant’s Name : _______________________________ Name of firm: ____________________________________
Street Address: ______________________________________ City/State/Zip: ___________________________________________
Telephone: __________________________ Email: _________________________________________________________________
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:________________________________________________________________________________________________________
Telephone:________________________________________Signature:_____________________________________________________
281 N. College Ave, PO Box 580, Fort Collins, CO 80522, (970) 416-2745 F: (970) 224-6134
Tenant-In-Common Address Ownership
Percentage
Eric S. White 7276 S Chapparal Cr East Centennial, C0 80016 17.5943%
New Direction IRA, INC. FBO
Barbara Ann Medina IRA
16 Inverness Pl E # 100, Englewood, CO 80112 14.0563%
M. Jennet White 6810 W Chatfield Lane Littleton, CO 80125 1.3072%
CW Subtrust 6810 W Chatfield Lane Littleton, CO 80125 34.8249%
Christopher D. White 6811 W Chatfield Lane Littleton, CO 80125 2.7732%
Booren Limited Liability Limited
Partnership
5330 South Fulton Court Greenwood Village, CO 80111 9.0332%
Dunkin Limited Liablity Limited
Partnership
C/O R&R Engineers-Surveyors 1635 W 13th Ave. Suite
310, Denver,CO 80204
5.5474%
Robert C Roth, Jr. 5883 S Kearney Street Greenwood Village, CO 80111 2.6144%
Robert B Taylor 2560 Quail Street Lakewood, CO 80215 0.8715%
Daniel A. White 7830 S. Queensburg Way, Aurora, CO 80016 5.3298%
Jane E. White 7276 S Chapparal Cr East Centennial, C0 80016 2.9101%
Laura Snortland Fairfield 605 Garden Road, DeKalb IL 60115 3.1377%
100.0000%
NEC Prospect and I-25 Ownership Information