HomeMy WebLinkAboutPRAIRIE VILLAGE - Filed MA-MINOR AMENDMENT - 2016-05-13City of ZC)n I n_q
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Minor Amendment Application Form - Zoning Department
Date Su
Project Name:
Project Location (Street Address):
Legal Description: PIZAIalg"7 y(L-C1(%
Comments Due By:
Minor Amendment 4 I 0
Planner 1V160_ I t' S
Effective Date 2' S /G
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General Information: List all proper(- owners having it IegaUequimhle interest in the property (Attach separwe sheets if necessmy).
Owner's Name (s : O SA I C LL G
Street Address: / L / �� t � (WC City/State/Zip:
Telephone: Q ��VY 1V 5_ Fax:
licant's/Consultant's Nam : L2yen. I '''� Name of firm:
Sheet Addre. s: �/^1/ OGf'l 1��1'!" Cit)•/Staate/Zip: d/�;'IS �a ®�0✓ Z
Telephone: G—Z c7 20Fax: lU'"ZZ' /��Emaii:bYC�'t/. CQp�✓jf
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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 81/2" X 11";
2) Completed and signed 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 _?
Det 'led description of the change and reason(s) for th_ equest: e�'�—
CERTIFICATION
I certify the information and exhibits submitted are true and correct to the hest of my knowledge and that in filing this application, lain acting with.
the knowledge, consent, and authority of the ovkners 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 pennit City officials to enter upon the property for the purpose of inspection, and if
necessary. fiir posting a public notic on the proper[
Name (please PRINT): 46
Address:_l0�/ i�Gt "it a 10r� G� -' �-5��'
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Telephone: ,,/ lf/ —Signature:_
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281 N. College Ave, PO Box 580, Fort Collins, CO 80522, (970) 416-2745 F: (970) 224-6134