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25 <br />oinsvCit°- • itlle Department of Planning and Building Safety <br />y <br />"T L <br />749 Main Street • Louisville CO 80027 • 303.335.4592 • www.louisvilleco.gov <br />COLORADO •stNCE I87f <br />LAND USE APPLICATION <br />APPLICANT IN O RMATION <br />Firm: t �} �fw +_ W.el/S 6.- <br />Contact: �{ lwk- (Jhi <br />Address: 9'65— %(a fra� AL gto <br />11.1e mnskew, to (5d' 34 <br />Mailing Address: <br />5alL ' as a Oe. <br />Telephone: 33• Z,'lZ" lb?' i}Gf'I.b t <br />Fax: r it 1 ( ►3' gr' Cl ► <br />Email: ill. ( 4 ti (1 , •ir,,,/" Uh L -ldwt <br />1 <br />OWNER INFORMATION <br />Firm: W Rbokr ct 1:ki L <br />� { <br />Contact: (i./ IL �! YI <br />Address: <br />',Sackte C5 a, title, <br />Mailing Address: <br />Telephone: <br />Fax: <br />Email: <br />REPRESENTATIVE INFORMATION <br />Firm: iWte as Aecn((cavt <br />Contact: <br />Address: <br />Print: <br />Mailing Address: <br />Telephone: <br />Fax: <br />Email: <br />Print: 549.4 A01( ba <br />PROPERTY INF r - ATION 6btl 1v1V D-F <br />Common Address: I11.H .. �.... <br />Legal Description: Lot B k <br />Subdivision <br />Area: J _. Sq. Ft. <br />❑ Date Received: <br />CASE NO. <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 />❑ Other: (easement / right -of -way; floodplain; <br />variance; vested right; 1 041 permit; oil / gas <br />production permit) <br />PROJECT INFORMATION <br />Su m ry: Pr R.10 <br />--r <br />it a Lou r. au4 5 li e <br />.►. l Ii S K3.. : E <br />#. 4 , u <br />anew,* <br />rm. <br />'S( }it to awl <br />1 <br />Current zoning: Proposed zoning: 10 <br />SIGNATU <br />Applicant. <br />Print: <br />4 <br />Owner: . . r. <br />Print: VIC- fkl, 1t3th <br />Representative: <br />Print: 549.4 A01( ba <br />CITY STAFF USE ONLY <br />❑ Fee paid: <br />❑ Check number: <br />❑ Date Received: <br />