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111 Cityof <br />Om Louisville Department of Planning and Building Safety <br />COLORADO • SINCE I Siti <br />749 Main Street • Louisville CO 80027 * 303.335.4592 www.Iouisvillecagov <br />LAND USE APPLICATION <br />APPLICANT INFORMATION <br />Firm: <br />Contact: g.YAN cot5m)(2R. <br />Address: fri P2:10E- ST <br />1.-CILVr-k-l-e Cr) 10:21' <br />I <br />Mailing Address: ',Aliene <br />Telephone: _Ft-ye..-.sa..7 - 1 co <br />Fax: <br />Email: rti/141Q (0' DiEcTiY-47.6t\Varel <br />OWNER INFORMATION <br />Firm: <br />Contact: 5ret. akwerr ISSZe. POHI,AeEL <br />Address: 5r7 i mtxtx.A.) AvE. <br />LCUM5yzu-Ci Co 1=27 <br />Mailing Address: 5IY1e, <br />Telephone: 30.3- 72...5- 4(3Ict <br />Fax: <br />Email: 0 “os7 4 enrceesr. uer <br />REPRESENTATIVE INFORMATION <br />Firm: EviS473 ie__SI„G (\) <br />Contact: gt-044.) Co„--Tr1/4_,ER <br />Address: 817 PT-N2E &-T T. <br />co Pftif27 <br />Mailing Address: ..,Sehirl <br />Telephone: .3c -.52.rT VOO <br />Fax: <br />Email: rZYAN)63 DNIDe=e\LCOM <br />PROPERTY INFORMATION <br />Common Address: 5T7 Lalvo3Liv 'NE.. <br />Legal Description: Lot 4v,, a Blk <br />Subdivision w f. <br />Area: 14,52.. Sq. Ft. <br />CASE NO. <br />TYPE (S) OF APPLICATION <br />CI Annexation <br />13 Zoning <br />L1 Preliminary Subdivision Plat <br />EJ Final Subdivision Plat <br />la, Minor Subdivision Plat <br />L3 Preliminary Planned Unit Development <br />(PUD) <br />LD Final PUD <br />1:3 Amended PUD <br />CI Administrative PUD Amendment <br />CI Special Review Use (SRU) <br />CI SRU Amendment <br />CI SRU Administrative Review <br />LI Temporary Use Permit: <br />ID CMRS Facility: <br />GI Other: (easement / right-of-way; floodplain; <br />variance; vested right; 1041 permit; oil / gas <br />production permit) <br />PROJECT INFORMATION <br />Summary: 1n4E._. incrvms.ttsyv or <br />A PeoPeerw c.,ria\nc, <br />oF _ a. Lars m1/4,7Te) •-rt..-2c3 <br />....PER.A.-re. PeOVEIZTTE-25.. <br />-NC <br />-0.,124=117MST-ON, 5ktpi.1-. <br />'e4 CsakirX7k.....1r-11" CYQ PR513:32M <br />Or rlKti- ci.).E.e„corr <br />CoucReTe, AFRoNi In FratieVCE <br />L-T'* AND WIZOVCC) cetLie4Vbita• 1:13gr‘k <br />17-1— ei..... <br />Current zoning: Proposed zoning: <br />SIGNATURS 8t!_ <br />Applicant. ----A._ _____ <br />Owner: <br />, <br />Print: .517*. <br />Representativ • <br />Print: R-YA ft) CO= \ 7 .re._ <br />CITY STAFF USE ONLY <br />LI Fee paid: <br />LI Check number: <br />1:1 Date Received: <br />