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LCity,/ <br />Louisville <br />Department of Planning and Building Safety <br />749 Main Street • Louisville CO 80027 • 303.335.4592 • www.louisvilleco.gov <br />LAND USE APPLICATION <br />APPLICANT INFORMATIONIN <br />Firm: Wes �" (4I1GIt?-giS 31,eWAL�j C') <br />Contact: i r, r.-n L(,4.fi 2-V <br />Address: 133 rfi-Pr t'f. <br />Lou:p; a e , c-d 36 oa7 <br />Mailing Address: <br />Telephone: 7U -27 3- G ci6 -7 <br />Fax: <br />Email: l evya.; G e e GoA'(, <br />OWNER INFORMATION /� <br />Firm: /2 ... [ UJ(� �o U `,// �I'q-7) (4 <br />Contact: / kct i k..7 rat&S It <br />Address: (l s ra41--(4el esi7' 7 /e.tviar <br />301410fej/ CO 80 3°3 <br />Mailing Address: SQ ic-e. <br />Telephone: 3 a3 - l > —1 7 <br />Fax: <br />Email: Alla*_.— TIC/ (-LSiY S4•Coot/ <br />REPRESENTATIVE INFORMATION <br />Firm: <br />Contact: <br />Address: <br />Mailing Address: <br />Telephone: <br />Fax: <br />Email: <br />PROPERTY INFORNI TION 1-)66 <br />Common Address: /3o3 &Mp•r e. rc <br />Legal Description: Lot Blk <br />Subdivision <br />Area: Sq. Ft. <br />CASE NO. //-D22-j/ <br />C F,Iooc( PJa;n <br />1 <br />TYPE (S) OF APPLICATION <br />❑ Annexation <br />❑ Zoning <br />❑ Preliminary Subdivision Plat <br />❑ Final Subdivision Plat <br />❑ Minor Subdivision Plat <br />❑ Preliminary Planned Unit Development <br />(PUD) <br />❑ Final PUD <br />❑ Amended PUD <br />❑ Administrative PUD Amendment <br />❑ Special Review Use (SRU) <br />❑ SRU Amendment <br />❑ SRU Administrative Review <br />❑ Temporary Use Permit: <br />❑ CMRS Facility: <br />(III Other: (easement / right-of-way; floodolain.. <br />variance; vested right; 1041 permit; oil / gas <br />production permit) <br />PROJECT INFORMATION <br />Summary: .16t M ; k . 1-6 <br />7mpi smbsMet, :4 iA.p'o�;�'4"�fT <br />u.ild:4 �calls OP. + <br />tr v A.L 1he mg. -ce i 14 <br />j <br />impeoue )- todi la e reh J Y <br />f1 emayuc r. , 60 e�� <br />454, `e,N a M t GL7 a ;i4- <br />Sugot iopow'botA) aet° ',Liole,. <br />lid L' /3a3 p J A <br />Current zoning: T Proposed zoning: <br />SIGNAL: DATE /� 4Applicant: <br />1./�L-y�- <br />Print: 3(6.4A) LU i I— <br />t <br />Owner: <br />Print: //r L.2T�du Si <br />Representative: <br />Print: <br />CITY STAFF USE ONLY <br />❑ Fee paid: <br />❑ Check number: <br />❑ Date Received: <br />