HomeMy WebLinkAboutOLD TOWN NORTH - Filed MA-MINOR AMENDMENT - 2017-04-27City of Fort Collins Zoning Department - Comments Due By.J-14-0'7
® 281 N. College Ave, PO Box 580 Minor Amend ent.- M19 o 000 D 1
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Fort Collins, CO 80522 ��+er 4o yes
Effective Date
Cityof Port Collins(970) 416-2745 FAX (970) 224-6134
Date Submitted:_-_P/4
Project Name: 81X1
Project Location (Street
Legal Description: V L
Minor Amendment Application Form
Minor Amendment Fee: $192.00
General Information: List all pro ert owner 1 yr a legal/eq�,'table interest in the property (Attach separate sheets rf necessary).
Owner's Name (s): f ��j i 9 T �1 �� _
Street Address: C�ity�/"State/Zip:.riq- ' �,.i!t,�',�,I. �? Le / 3'�C
Telephone: AFC (%,II% Fax: '"E A'%" ;, 'f—
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Applicant's/Consukant's Name: L k'i Name of firm:
Street Address:
Telephone: Fax:
City/Statemp:
Email:
SUBMITTAL REOUIREMENTS:
1) Six (6) 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 six plans or provide six copies of revised drawings showing the changes in
addition to the six originals;
2) Completed and signed application form; and
3) Application fee of $192.00.
MINOR AMENDMENT
Detailed description of the change and reason(s) for the repuest:
I I.z.1. 1 n,rwi/a I..r _.h_
CERTIFICATION
I certify the information and exhibits submitted are true and correct b 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 al] owners having a legal or equitable interest in the real pmperty, 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 publigtpotice on the property.
Name (please PIiiN'D: