HomeMy WebLinkAboutSCOTT PLAZA - Filed MA-MINOR AMENDMENT - 2016-07-28City of Znnl� '.
�,F�ort Collins
Minor Amendment Application Form
Date Submitted:
Project Name: Lekal Mina✓ Q+mznJr"&1-r
Project Location (Street Address): lf-0 I W. 'F'lt, yl
Legal Description:
Comments Due By: �.; 1 1 p
Minor Amendment #,,,nft 1-1
Planner NO" 13?A i,S _
Effective Date 0 5 - o S-Z
- Zoning Department
General Information: List all property owners havr a legal/equitable interest in the property (Attach separate sheets if necessary).
Owner's Name (s : d
Street Address: _95 q City/State/Zip: tl j klsr ' , J -k I S YIZO
Telephone: qO j . 2.6 9 • Fax:
licant's/Consultant's Nam : 4t- ,;._Yin u lczn Name of firm: '
Street Address: City/State/Zip: J7,'_C o #1n -- rp 21
Telephone: Fax: Email: Tar -A _rir�ism ain in d
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 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:
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: LfI 4 (:AAVQth ftbG '_'>&L4-M-
`I Tele hone• ZZy 5V21r Signature:
281 N. College Ave, PO Box 580, Fort Collins, CO 80522, (970) 416-2745 F: (970) 224-6134