281 North College Ave.
P.O. Box 580
Fort Collins, CO 80522
Short Term Rental License – Denial Appeal Form
The requested information on this application is required.
In the case of more than one (1) appellant, the appellant listed above shall be the authorized individual to
receive, on behalf of all appellants, any notice to be mailed by the City to the appellants under the provisions
§ 2-543 or 2-544.
1) The submittal shall consist of an electronic version of this form and additional attached information on
a CD or Flash Drive.
2) Complete and sign the Short Term Rental License – Denial Appeal Form. Attach any additional
information describing the appeal and mitigation factors.
3) In the appeal description (page 2 of this application), include the action or decision which is the subject
of the appeal, the date it took place, and a specific statement of the reasons for the appeal. All data or
documentation upon which the appellant(s) seek to rely must be attached to this form.
4) In the case of more than one (1) appellant, the name, address, email, telephone number and relationship of
each appellant to the subject of the action or decision being appealed (attached additional sheets if more
room is needed).
5) Application fee of $25.
The description must include: (1) The action or decision being appealed; (2) The date of such action or
Short Term Rental Location (Street Address):
Appellant’s Address (if different from the Short Term Rental Location):
General Information: List all property owners having a legal/equitable interest in the property (Attach separate sheets if necessary).
Owner’s Name (s):
Street Address (if different from Short Term Rental Location):
Telephone: Email: _