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25 <br />LIE, City <br />Department of Planning and Building Safety <br />Louisville <br />c(m,t)it NOCI NO- 1•47ti <br />749 Main Street • Louisville CO 80027 • 303.335.4592 • www.louisvilleco.gov <br />LAND USE APPLICATION <br />APPLICANT INFORMATION <br />Firm; <br />Contact: L_:,..: <br />Address: <br />L yi <br />Mailing Address: 1 <br />PROJECT INFORMATION <br />Summary: <br />. <br />Telephone: - , <br />Fax. , <br />Email: 1 ' Z <br />OWNER INFORMATION <br />Firm: <br />Contact: <br />Address: <br />Mailing Address: <br />Proposed zoning: <br />Telephone: <br />Fax: <br />Email: <br />Owner: <br />REPRESENTATIVE INFORMATION <br />Firrn: <br />Contact: <br />Address: <br />Mailing Address: <br />CITY STAFF <br />0 Fee paid. <br />La Check nu <br />0 Date Re ; <br />Telephone: <br />Fax: <br />Email: <br />PROPERTY INFORMATION <br />Common Address: 4- <br />Legal Description: Lot Blk <br />Subdivision <br />Area: Sq. Ft <br />CASE NO <br />TYPE (8) OF APPLICATION <br />0 Annexation <br />la Zoning <br />Ea Preliminary <br />CI Final Subdivision <br />0 Minor Subdivision <br />O Preliminary <br />(PUD) <br />0 Final PUD <br />0 Amended PUD <br />O Administrative <br />O Special Review <br />O SRU Amendment <br />O SRU Administrative <br />O Temporary <br />O CMRS Facility: <br />O Other: (easeme <br />varianc,e; vested <br />production <br />Subdivision <br />Plat <br />Planned <br />PUD <br />Use <br />Use P <br />1 <br />i <br />Plat <br />Plat <br />Unit Development <br />Amendment <br />(SRU) <br />Review <br />rmit: <br />(?,1.6.,,,..k-, <br />4/6 <br />r /right-of-way; floodplain; <br />right; 1041 permit; oil / gas <br />permit) <br />PROJECT INFORMATION <br />Summary: <br />Current zoning: <br />Proposed zoning: <br />SIGNATURES & DATE <br />Applicant-. <br />Print: <br />Owner: <br />Print: <br />Representative: <br />Print: <br />_ _.... <br />CITY STAFF <br />0 Fee paid. <br />La Check nu <br />0 Date Re ; <br />. . <br />SEP 09 O14 <br />ived: <br />EPARTMENT Of PLANNING &BUILDING SAFETY <br />