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HomeMy WebLinkAboutOAK RIDGE WEST 1ST FILING HEALTHCARE INTERNATIONAL - FINAL - 23-87B - - APPLICATIONCOMMUNITY DEVELOPMENT DEPARTMENT PLANNING DIVISION APPLICATION FORM CITY OF FORT COLLINS Project NameJ$Qr\k-V,Cb s Q Project Number: Project Location or Street Address: Today's Date: • L GENERAL INFORMATION: Owners Name:fQ Address: Y a lS i�.gs �OSa 3� Telephone: Land Use Information: Gross Acreage/Sq. Footage Existing Zoning: Proposed Use: C!Csg &C o�\ Total Number of Dwelling Units: Total Commercial Floor Area: 101 n Applicants Name: Pox 1 re 74(,r t)a� Address: Telephone: 7SL. $1 TYPE OF REQUEST: Contact Person:EJAnaLZbs I n L.saxiyU,\Q ijam Address: Q l0A 7� 04 1, n �inS Gl PG-S i V Telephone: Q, 1-093! Please indicate type of application submitted by checking the box preceding appropriate request(s). Combined requests, except for Final PUD and Final Subdivision, require the combined individual fees. No application will be processed until all required information is provided. Additional handouts are available explaining information requirements for each of the following review processes. Annexation with Initial Zoning , Fee: $50.00 + $10.00 per s W':.--if annexation plat a $3.00` per sheet Of ,annexation ,petition I:iegcMtecf "l-One _ Rezoning w � � Requested lone Fee: $50,00 + $3.00' per sheet of rezoning petition w„ »............................ Piat7ned Unit Development — Master Plan Fee: $60.00 :Planned Unit Development — Prehrninary Plan , $$0.00 _ < rtned Unit Development —Final Plan (Including final subdlvisic; +ae: $60.Od ; $10.00 per sheet of subdivision plat 'PUD Administrative Change Fee: $5.DD Preliminary Subdivision Fee: W-0a Final Subdivision -- 1 to 4 lots,, Fee: $25.00 $10,00 per sheet of plat m r Multiple-Fanttly Use RequesM In the H-M and R-11 Zoning District Fee: $35-00 Nor-Hesidential Use Requests in the R-H Zoning District Fee: $35.00 Non -Conforming Uso Requests 3 Fee: $60.00 Group Home Review, Fee: $35,DO ILAP Site Pian Review . Fee: $60.00 Vacafion of ROW or Easement Fee: $3.00" per sheet of fifing document ._�.. ,.�...,..._._. .,.,. ,._..-�.�.... ,..., r � .,�....�.....w... Street Name Change Fee: $$.00` per sheet of ff 090"nt 5'1985 'Please make check payable to Lanmer County Clerk and Recorder. (OVER) PUD ADMINISTRATIVE CHANGE Description of the change and reason(s) for the request: Planning Division: Action: Date: By: Building Inspection: Action: Date: By: . Engineering: Action Date: 3y: _ CERTIFICATION I certify that the information and exhibits herewith submitted are true and correct to the best of my knowledge and that in filing the application I am acting with the knowledge and consent of the owners of the property without whose consent the requested action cannot lawfully be accomplished. _ Name: Address: Telephone: Q:;, 1 - o`l31 ITEM OAK RIDGE WEST Healthcare NUMBER 23-87 A International PROJECT NUMBER: DATE: BUSINESS SERVICE USES POINT CHART E For All Critera Applicable Criteria Only I II III i'J Circle Criterion Is The The %'cx:r': . Criterion Correct Points �cpeccce Applicable Score Multiplier Earneo :10 nr, Yes No Yes Vhr' No 1Y11 a. Transit route I X 2 0 2 Q b. S. College corridor X X 2 0 4 g 8 k c. Part of center X X 2 0 3 C 6 r d. Two acres or more X X 2 0 3 b 6 t e. Mixed -use c X X 2 0 3 6 f. Joint parking 1 T20 3 Nth g. Energy conservat-ion 4-0 i. Historic preservation 1112 01 2 0 j. 112 0 k. 1 2 0 I. 1 2 T .Iry We!I Done Percentage Earned of Maximum Applicable Points Totals 13o I -y- VNI = Vll