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LCity.,/ <br />Louisville <br />Department of Planning and Building Safety <br />749 retain Street • Louisville CO 80027 • 303 335 4592 • wavwlowswlloco.gov <br />LAND USE APPLICATION <br />APPLICANT INFORMATION n <br />F, rn [ issa )h e..�. S. 4S J, , mst / <br />Contact <br />/ � <br />AddtesS. 111 7 1.4 Akita 1411.1e <br />Lm..l! ro 8U0a7 <br />Mailing Address. <br />CrlfOS 99 a.s t..nrs 7ri t'refri <br />TNOphone- 3O? fslst Rr ,&- <br />Fax <br />Emad O/#Snt &A..e TMGtA/K 'AIM' <br />a IF/ Drs nvL n G174/17J., Fdcn -(7)' <br />OWNER INFORMATION <br />Firm. Cr! ry Or LOLp Sib 11 -s <br />contact fl l ' wa jL t s% /Alt <br />Address. 7Y5 0144/t/ Cr <br />Current zoning El Proposed zoning RI <br />Mailing Address <br />SIGNATURES & DATE <br />Applicant. 3/4•11.e.est ..� ileic <br />Telephone 3 rzi ? R S"- ti nt. <br />'J' wrier. <br />Fax 30'i 33.5 -_Y <br />Email' rllgtcst/anFgA vitvillaCO.cut• <br />Print <br />REPRESENTATIVE INFORMATION <br />{ <br />Firm. �t tv,p,ufa ax. <br />Contact <br />Addies5 tacos & PS/t Sr SV•rg1t_ <br />rgasAA,Amte. Ao $D i l l <br />Mailing AddreS5. <br />Tetepnone 3o3-1a. SboI <br />Fax. 303 - 3117S -A-to 3 <br />Email &//411(MCA ni, .*ua w..,c. tit r• <br />PROPERTY INFORMATION <br />Common Address- 0 timtPP4 <br />Legal Descnpbon. Lot 1, L43 <br />Subdivialon F.taq.ts —Ln <br />Area aal (../V Sq Ft. <br />CASE NO. <br />TYPE (S) OF APPLICATION <br />O Annexation <br />0 Zoning <br />0 Preliminary Subdivision Piet <br />O Final Subdivision Plat <br />O Minor Subdtvlaton Plat <br />0 Preliminary Planned Unit Development <br />(PUD) <br />0 Final PUD <br />0 Amended PUD <br />0 Administrative PUP Amendment <br />II Special Review Use (SRU) <br />0 SRU Amendment <br />0 SRU Administrative Review <br />0 Temporary Use Permit. <br />0 CMRS Fatality <br />0 Other (eaSemem / rfghbor way. ltoodptain, <br />variance; vested NM: 1041 permit, alt gas <br />production permit) <br />PROJECT INFORMATION <br />I Summary /L v1KC. [aZl 8'K Id S is <br />CrlfOS 99 a.s t..nrs 7ri t'refri <br />12Aitsn AID 4 I.l)TM <br />,4_didtfft girt 4�PI1•rmstuve it- ir. <br />T ».t ..AL A* canttluC.lu cnrtr.v <br />a IF/ Drs nvL n G174/17J., Fdcn -(7)' <br />Current zoning El Proposed zoning RI <br />SIGNATURES & DATE <br />Applicant. 3/4•11.e.est ..� ileic <br />I' <br />Print KA L+b» ei <br />'J' wrier. <br />Prim e lb l 1J <br />Representative <br />Print <br />CITY STAFF USE ONLY <br />❑ Fee pad <br />❑ Check number <br />LI Data Received <br />