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4"1111 Cit ;, <br />Vi <br />m Louisville <br />C'.-)LORADO • SINCE I 7S <br />Department of Planning and Building Safety <br />749 Main Street ' Louisville CO 80027 ' 303.335.4592 0 www.louisvilleco.gov <br />LAND USE APPLICATION <br />APPLICANT INFORMATION <br />Firm: <br />Contact: <br />��,, <br />Address: /7 0f. (b,-1 nidi �--� Li,/ 4/ <br />Z. v/ S 4//' , - (i'' 1,--D07,1 <br />/, <br />Mailing Address: <br />QQdal aL .h ear, e <br />/ <br />Telephone: 3,ea be 5 3 7( 9 <br />Fax: <br />Email: 4*----eim Pio edM-6 , ti:, -.1— <br />cKe A: )e4A4C.4,5-r s ,05" <br />OWNER INFORMATION <br />Firm: <br />Contact: <br />Address/747,i 4941771►u'i/41-- /, n/C <br />1-7.9r//5L// ) (-U ter02-77 <br />Mailing Address: <br />I <br />Telephone: . 3 ‘6 5--7,81 <br />Fax: <br />Email: 6:444‹,GAJ'f7D Colne- a <br />a' .�s A A- 43 C s- f .•- <br />REPRESENTATIVE INFORMATION <br />Firm: &«✓✓- ) ,...527W413 - <br />27 U 13_Contact: <br />Contact: 6.4/zy /,,,/,J.5 <br />Address: 1z2%,2P,e 51 <br />ego . r-,-.4 , /3 10 $0 - <br />Mailing Address: p, ,' e'er/ <br />,s . <br />Telephone: `a " ..? ® /07-/C <br />Fax: <br />) <br />Email: mif( '- g//i 4).5 .,-�5/ •,tl.l itit-5;„ <br />PROPERTY INFORMATION �) <br />Common Address: /L/.G /'6. !"�,Ak j1 <br />Legal Description: Lot %b. Blk <br />Subdivision , �_' A, /C 114e2-6/113, <br />Area: '7 Sq. Ft. <br />CASE NO. <br />TYPE (S) OF APPLICATION <br />U Annexation <br />❑ Zoning <br />❑ Preliminary Subdivision Plat <br />❑ Final Subdivision Plat <br />0 Minor Subdivision Plat <br />0 Preliminary Planned Unit Development <br />(PUD) <br />0 Final PUD <br />0 Amended PUD <br />0 Administrative PUD Amendment <br />0 Special Review Use (SRU) <br />0 SRU Amendment <br />❑ SRU Administrative Review <br />0 Temporary Use Permit: <br />❑ CMRS Facility: <br />AOther: (easement / right-of-way; floodplain; <br />variance; vested right; 1041 permit; oil / gas <br />production permit) <br />PROJECT INFORMATION <br />Su rnary: hai ad a /0 ailj r . 7QYi <br />70 ex /,5 ii A horn <br />QQdal aL .h ear, e <br />CYE. re J <br />Current zoning: Proposed zoning: <br />SIGNATU' S & DATE <br />Applican , G l ./ !'Ill deo <br />Print: / <br />Owner: �. --1' . ' '/'.' efth <br />. <br />Print: �' r. — a ' <br />Represe tativ-': <br />Print <br />CITY STAFF USE ONLY <br />❑ Fee paid: <br />0 Check number: <br />0 Date Received: <br />