HomeMy WebLinkAboutA002 - Development Application Form, Homer Caton r7
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Property Owner 4.�Ati e, G. -� �o�Y�„� /�. .G�/ 0&V A CJ4 a
Address 4&%
(street) (City) (State) (Zipcode)
Telephone (15).?-96-,!608R (,pis)
(Business) (Home)
Contact Persd'liacy Clark(292-8231) De Troy Green(292-7923) Darrell Coy(292-8119)
Address Dartmoor Lane Ames, Iowa 50014
(Street) (City) (State) (Zipcode)
Telephone
(Business) (Home)
(Fax) (Mobile/Cellular)
Project Name and Project Description:
Voluntary annexation of personal property in Ferguson sub-division
Street Address or Boundary Description:
Property on Dartmoor Rd.,Dartmoor Drive, & Dartmoor Lane
Legal Description: (The legal Description must be correct or the application cannot
be processed.) Attach if lengthy.
SEE ATTACHED LIST s
OCT 2 0 1997
CITY OF AMES,IOWA
Check Applicable Items: OEPT.OF PLANNING&HOUSING
Amusta :
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t ....Cerlificate:o1`:
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I(We)certify that I(we)am(are)familiar with applicable state and local codes and ordinances,
the procedural requirementeof e City of Ames have submitted all the required information.
Owner's Signature: ��r._ Date:
Preparer's Signature: Date: MY JOHN DIRKS OMMISSION EXPIRES
OW" NOVEMBER 17, 1998
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Property Owner J dyl f c.e- K, (fo vt r rc
Addres&10 L"W yi 06►^ 14W— A-Wl g_$ `a wo- �DD(4•
(Street) (CIO (State) (Zipcode
Telephone �f'��-rr e� (,Sfq 2-
(Business) (Home)
Contact PersoTiracy Clark(292-8231) De Troy Green(292-7923) Darrell Coy(292-8119)
Address Dartmoor Lane Ames, Iowa 50014
(Street) (City) (State) (Zipcode)
Telephone
(Business) (Home)
(Fax) (Mobile/Cellular)
Project Name and Project Description:
Voluntary annexation of personal rnp in Fernus n gth-di��icinn
( 40- ' 8)
Street Address or Boundary Description:
Property on Dartmoor Rd.,Dartmoor Drive, & Dartmoor Lane
Legal Description: (The legal Description must be correct or the application cannot
be processed.) Attach if lengthy.
SEE ATTACHED LIST
Check Applicable Items:
nls€r�tfl�e..Pl.�f......... . . � P.C: e' ..... .........:..:...::.::::?:.:
, . :::::;:2;:ii2t:i:: ::�:::'�''.`'::`«.:.is?.:;;.d::,y:'i::::';::::};o:�;::: ::::::•`'k::::`:::::;:;:
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I(We)certify that I(we)am(are)familiar with applicable state and local codes and ordinances,
the procedural require ents of the City of Ames an pave submitted all the required information.
Owner's Signatur • Date: _
1
Preparer's Signat' re: Date:
Owner's Signature Date:
-
Date:
0/00")
State of Iowa
County of Story
Signed or attested before me on L+o loer 15 I c1 ci`I by
D QpU and J'a n i ce
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NOTARY PUBLIC
My commission expires O-c . 12 , 20on
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Property Owner
Address
(Street) (City) (State) (Zipcode)
Telephone
(Business) (Home)
Contact Persolracy Clark(292-8231) De Troy Green(292-7923) Darrell Coy(292-8119)
Address Dartmoor Lane Ames, Iowa 50014
(Street) (City) (State) (Zipcode)
Telephone
(Business) (Home)
(Fax) (Mobile/Cellular)
Project Name and Project Description:
Voluntary annexation of personal properly i, n Ferguson sub-division
Street Address or Boundary Description:
Property on Dartmoor Rd.,Dartmoor Drive, & Dartmoor Lane
Legal Description: (The legal Description must be correct or the application cannot
be processed.) Attach if lengthy.
SEE ATTACHED LIST
Check Applicable Items:
tl�c..Plat
Aitll!�11:a: -.::.::. :..
iro r
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Duel :.
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f:•::
I(We)certify that I(we)am(are)familiar with applicable state and local codes and ordinances,
the procedural requirements of the City of Ames and have submitted all the required information.
Owner's Signature ����- Date: ' ( �
Preparer's Signature: Date:
�jj!'��
.:.:..:..:... .......
Property Owner
Address
(Street) (City) (State) (Zipcode)
Telephone
(Business) (Home)
Contact PersolTracy Clark(292-8231) De Troy Green(292-7923) Darrell Coy(292-8119)
Address Dartmoor Lane Ames, Iowa 50014
(Street) (City) (State) (Zipcode)
Telephone
(Business) (Home)
(Fax) (Mobile/Cellular)
Project Name and Project Description:
Voluntary annexation of personal property in Ferguson sub-division
Street Address or Boundary Description:
Property on Dartmoor Rd.,Dartmoor Drive, & Dartmoor Lane
Legal Description: (The legal Description must be correct or the application cannot
be processed.) Attach if lengthy.
SEE ATTACHED LIST
Check Applicable Items:
A znstrav+ ..t'Lat
It.
M�e�d.;���t; ��e�o.:m�a�t;
:.:.:;� .cate+��'.Appropriate>ness ... :::::::: ....
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;fat 1 �lt+�Pta�.il��vle�an A .....:.::. ..:... .::.
I(We)certify that I(we)am(are)familiar with applicable state and local codes and ordinances,
the procedural requirements of the City of Ames and have submitted all the required information.
Owner's Signatur `L—1 �//i Date:
Preparer's Signature: Date:
Owner's Signat Date: 2
_.dk44-- Iy ,(�� Date: Q-03 -97
State of Iowa
County of Story
Signed or attested before me on . 'l by
and` .. c i e lj
T
NOTARV PUBLIC �pOAL eF CHARLOTTE R.VA KERC VOORDE
MY COMMISS
My commission expires °"F
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Property Owner t r o e e—n 4-- p i- ki e—r\
Address' 5- DDY'
(Street) ( 1ty) (State) (Zips e)
Telephone 515—J. U— 7 9A 3
(Business) (Home)
Contact Persolirac Clark 292-8231 De Pro Green 292-7923 Darrell Co 292-8119)
Address Dartmoor Lane mes, Iowa 50014
(Street) (City) (State) (Zipcode)
Telephone
(Business) (Home)
(Fax) (Mobile/Cellular)
Project Name and Project Description:
Voluntary annexation of Pp _monal rimer in Fergwg 1n sub-di i i
Street Address or Boundary Description:
Property on Dartmoor Rd.,Dartmoor Drive, & Dartmoor Lane
Legal Description: (The legal Description must be correct or the application cannot
be processed.) Attach if lengthy.
SEE ATTACHED LIST
Check Applicable Items:
�naaistratl��..P1at..
it>vt'1a>tiE......
;: ppea n a stoa anae apt ex�elvp�it�(Pt�}
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I(We)certify that I(we)am(are)familiar with applicable state and local codes and ordinances,
the procedural requirements of the City of Ames and have submitted all the required information.
Owner's Signature: Vv\cw� ., .� n � Date: 9 - i--L s
Preparer's Signature: Date:
Property Owner Wayne E. & Betty J. Jackson
Address_ 3316 Dartmoor Lane Ames, IA, 50010
(Street) (City) (State) (Zipcode)
Telephone 515-292-8825
(Business) (Home)
Contact PersoTIdacy Clark(292-8231) De Troy Green(292-7923) Darrell Coy(292-8119)
Dartmoor Lane Ames, Iowa 50014
Address
(Street) (City) (State) (Zipcode)
Telephone
(Business) (Home)
(Fax) (Mobile/Cellular)
Project Name and Project Description:
Voluntary annexation of personal property in Ferguson sub-division
Street Address or Boundary Description:
Property on Dartmoor Rd.,Dartmoor Drive, & Dartmoor Lane
Legal Description: (The legal Description must be correct or the application cannot
be processed.) Attach if lengthy.
SEE ATTACHED LIST
Check Applicable Items:
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I(We)certify that I(we)am(are)familiar with applicable state and local codes and ordinances,
the procedural requ' the 94'1 a have 7 submitted all the required information.
Owner's Signature: . Date:
Preparer's Signature: Date:
V 11Ell 11.14 ry-1 410 r0V 7r01 111 Vr :iuza 1 !+ . ..
` DEVELOPMENT APPLICATION FORM 1h frective Date.January 1, 1997
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i'Property Owner .
Address (S zi od�
(Street) (City) � (State) ( Pe )
Telephone z 2 Z- 4 1 c�-
(Husinesa) QiomC)
Contact Person _ 'Y
Address �3 Z
(Street)- (city) (Stataj 1pcode)
Telephone
(Business) (Hane)
(Fax) ('VSobllrJCcllular)
Street Address or Boundary Description:
,�-o V 1/? , J 3 Z az�l
Legal Description: (The legal Description must be correct or the application cannot
be processed.) Attach if lengthy.
BIND
22 Z
1Cj0
- 8
AtviJitjG&i!OUSlh?G
Check Applicable Items:
X
❑ Administrative Plat ❑ P-C Site plan
Annexation ❑ P-I Site Plan
❑ Appeal of a Decision ❑ Planned Unit Development(PUD)
❑ Certificate of Appropriateness ❑ P-C, P-I, or PUD Amendment
❑ Conceptual Development Plan (CDP) X Rezoning
O Final Plat ❑ Site Plan Review(A-1, R1-10,R1-6,
❑ LUPP Change R-2,R2-7,R-3, R-4, H-M, G-C, C-C,
CT•I
I (We) certify that I (we) am(are) familiar with applicable state and local codes and ordinances,
the procedural requirements of the City of Ames and have submitted all the required information.
Owner's Signature: Date: /
Preparer's Signature: Date: 3
d &-,dwvvn e /�vw i-d" a3 f 644
�c�•c.cry �► cur .,�� o a•aS-9?.
Effective 11/01/86
CITY OF AMES
PETITION FOR ANNEXATION
Name(s) of Property Owner(s):
Address: U/
(City) (State) (Zip)
Telephone: - J cf',;L 1) 1 Z
(Home) (Business)
Street Address or Boundary Description of Annexation Request: 3 g &,5
lee � v CZ"w2 I )) 5 o v i
Legal Description: (The legal description must be correct or the Petition
cannot be processed.) (Attach the legal description if necessary.)
Reasons for Requesting Annexation:
This Petition must include the following:
1. A plat, drawn to scale, showing the -relationship of the subject
property to the existing corporate limits;
2. 1b se map , pr par d t e D ar en o P1 ni a d us 'ng,
owi g e 2 -fo t b nd y ounc At n s u�jec �pQpeN y dt
o ro rt own rs thi 2 f e t;
0��kj We-I-),3. A Petition ;for Zoning, including all required materials;
� A��riGuiku�a��on1�9
4. A signed Voluntary Annexation Checklist.
I (We), the undersigned land owner(s), pursuant to Section 368.7, Code of
Iowa, 1984, respectfully petition the Mayor and the City Council of the City
of Ames for annexation to the City of Ames. I (We) further state that the
described real estate is contiguous to the present corporate limits of the
City of Ames as shown on the attached plat.
41%
�
Development Application Contact Person
In order to ensure proper communication between the applicant and the
City of Ames, all communication from the City will be provided to the
following individual:
Name: n
Address: i So®�
Phone: 5'15-Jftw-eoiZ
FAX #:
I (We) certify that I (we) am (are) familiar with applicable state and local
codes and ordinances, the procedural requirements of the City of- Ames,
and I (we) have submitted all required information. Further I
acknowledge that the contact person for this application is the individual
as noted.
Signed by: Date: � - 't �
G � t
/'� l�.o ` ( y�ner 1i✓dA49�cTi�
and: /"'1291- Date:
(Owner's Agent)
Fee: $,4�51,00 Date Paid: Received by:
Date Received by the Department of Planning and Housing:
h\bpo\misc\contact.mst
RECEIVED
J0 2 719G8
CITY OF AMES,IOWA
DEPT,OF PLANNING&HOUSING
C)1:'211 'g8 WED 11:15 FAX 515 239 .1261 C_:ITY OF =OIES 3NSPECII0'« 10003
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lkc coPa,
a3ri 9�
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jq5��W'-j
RECEIVE®
JAN 2 71998
CITY OF AMES,IOWA
DEPT OF PLANNING&HOUSING
01 21/98 «EI) 11: 15 FAX 515 239 5261 c ill U1-' XE5 1VSFECIIU.V5 wjuua
q � �
(For Corporation Only)
The undersigned, is duly authorized to act for the a
corporation with an office at
Title:
Title:
(all petitioners must sign this petition)
STATE OF16WA, )
#6r,•copw )ss;
COUNTY OFF )
On this a3 day of f , 19 ,before me,the
undersigned, a notary publiCln and f e State of Isl personally appeared
McL,. L-o 'se- A�scn to me known to be the identical persons)
name in and who executed the same as IYl u e fc.,,lsen _voluntary act and deed.
.Y
N tary Public i and for the State ofiewa-
A r-con C'
STATE OFIOWA 91?9
)ss:
COUNTY OF STORY }
On this day of 119 , before me, the
undersigned, a notary public in and for the State of Iowa, personally appeared
to me personally known,who, being by me
duly sworn did say that(he/she) (they) are the
(respectively) of said corporation; (that no seal has been procured by said corporation) (the seal
affixed hereto is the seal of the said corporation);that said instrument was signed on behalf of said
corporation by authority of its Board of Directors, and that said
as such officer(s) acknowledged the execution of said instrument to be the voluntary act and deed
of said corporation,by it and by them voluntarily executed.
(SEAL)
Notary Public in and for the State of Iowa
FORM/10.1 _ _�__.,..,�..�
RECEIVEL)
CITY OI` AMES,IOWA
L.LEPT OF PLANNING&HOUSING
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Property Owner j�GSk/E` 0/.S /4.
Address_,--)�S� I)A��IVM4 K "��,
(Street) (City) (State) (Zipcode)
Telephone �c�15)a2� " r7,��
(Business) (Home)
Contact PersoTtracy Clark(292-8231) De Troy Green(292-7923) Darrell Coy(292-8119)
Address Dartmoor Lane Ames, Iowa 50014
(Street) (City) (State) (Zipcode)
Telephone
(Business) (Home)
(Fax) (Mobile/Cellular)
Project Name and Project Description:
Voluntary annexation of personal rnp er y in F r,giiisnn silt-rlivigi�
Street Address or Boundary Description:
Property on Dartmoor Rd.,Dartmoor Drive, & Dartmoor Lane
Legal Description: (The legal Description must be correct or the application cannot
be processed.) Attach if lengthy.
SEE ATTACHED LIST
Check Applicable Items:
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I(We)certify that I(we)am(are)familiar with applicable state and local codes and ordinances,
the procedural requirements of the City of Ames and have submitted all the required information.
Owner's Signature: Y_e� (� l���¢/�e�,� Date:
Preparer's Signaturet�,:,J ai Date: /D -- t %�
Owner's Signature �J� �' .� Date: A0 -/f�-9
Date: & 9 7
State of Iowa
County of Story
Signed or attested before me on iq by
Lasii and
p o YYl. kDh,J2g--
NOTARY PUBLIC
My commission expires . i 2 , a®�