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City ar <br />Louisvil.le <br />COLORA3?O • SINCE 187E <br />Community Development Department <br />749 Main Street + Louisville CO 80027 + 303.335.4592 • www.louisvilleca.gov <br />Development Review Application Form <br />Please complete this form and include it with the submittal documents for your development review application. <br />Applications will not be processed until all required information is provided to the satisfaction of the City of <br />Louisville Planning Department, <br />Property Information <br />Common Address(es): 1303 Empire Road <br />Legal Description: <br />Lot 1 Block Subdivision Empire Road Subdivision <br />Lot Area: Sq. Ft. or 2,66 Acres <br />LAND USE PROCESS (check all that apply) <br />El Annexation <br />❑ Concept Plan <br />❑ Easement Vacation <br />Q Oil and Gas <br />❑ General Development Plan (GDP) <br />❑ Amendment <br />❑ New GDP <br />❑ Planned Unit Development (PUD) <br />O Amendment <br />© Preliminary <br />❑ New PUD <br />❑ Rezoning <br />❑ Special Review Use (SRU) <br />O Amendment <br />© New SRU <br />O Subdivision <br />CI Final or Replat <br />O Preliminary Plat <br />f7 Temporary Use Permit <br />❑ Variance <br />LI Vested Property Right <br />O Wireless Facility <br />O Other: <br />Property Owner information <br />Name: LandtPete revn <br />Address: 3636 Chestnut PL, Oenver, CO 80216 <br />Phone: 303 619-1342 <br />PROJECT DESCRIPTION: <br />Distillery Pub tasting room located within an <br />existing warehouse building at 1303 Empire <br />Road. Service will be indoor to include a public <br />space to serve cocktails, private tastings of <br />product, product sales and a limited food <br />service prepared in the company owned food <br />trailer. Morning hours may be added to include <br />the service of coffee and pre -prepared breakfast <br />food. Personnel will be employees of Ironton <br />Distillery. Occupancy will be limited to 49 <br />people. <br />Entity (if applicable) 6°secarnp Loulsv]e LLC <br />Email: Lance c[yirontondisTiery.cOrn <br />Application Representative Information <br />Name:',mil/ Johnson Entity (if applicable) ❑a., Design <br />Address: 922 Main St, Unit A. Louisville, CO 80027 <br />Phone: 303 527-1100 <br />Certification/Sig nature <br />certify that the information i have submitted is true and correct to the best of my knowledge and in filing the <br />application and submittal documents, I am acting as and/or with the knowledge and consent of those persons <br />who are owners oft a subject property or are parties to this application. <br />Email: andy&lajdesign.00n <br />Signature" Print Name Date <br />*If acting as a representative/agent of the owner, include written authorization from the owner that certifies the agent's right to <br />submit this application <br />