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rel <br />LCityi <br />Louisville <br />((1 OK.vlO • stN, t 1:•,7, <br />Department of Planning and Building Safety <br />749 Main Street • Louisville CO 80027 • 303.335.4592 • www.louisvillecagov <br />LAND USE APPLICATION <br />APPLICANT INFORMATION <br />Firm: WidzS,c aile_c:-\-\Qrr «%' + 5, y‘ <br />Contact: (--e0.-1--1 FcCCr,;- <br />Address: ?5d Z 'WfE S '-1. <br />- <br />r',),-NAA:.71-- <br />),-•'AA:.71- W *,(./-"C <br />Mailing Address: <br />Telephone: (c>07,\>:S� - i3lo4 <br />Fax: <br />Email: ,v -E P. U ,C�C.cat� t-k..(..._,ou-' <br />OWNER INFORMATION <br />Firm: <br />Contact: t5-AtLi 6. (IE -5-t -t <br />Address: IC v Ur,)(C PS -C- • <br />‘.,o„lSL/ki-L- 60 t"a t; Z <br />Mailing Address: <br />SIGNATURE & pAE <br />G�(��� <br />JPrint: <br />Telephone: <br />Fax: <br />Email: V-(,F,-4.v.c1+� V1/4..e_ Vie i..vr.- . C.--9`P"- <br />Print: , Stir:NA N..) --e ILI-e Sse,n, <br />REPRESENTATIVE INFORMATION <br />Firm: L ‘ cil'G\A. 4 CiQSiGJA <br />Contact: S c._/• -e -L. Pzr-c-e,. <br />Address: 2.ft4-2_ KIL S{.. <br />C37.)L Ce --,-g_. C.);) > 'Z 0 l <br />Mailing Address: <br />O Date Received: <br />Telephone: (3c>-5\33•51- - V -U041, <br />Fax: <br />Email: €c&-tu-e-. (-4'VA <br />PROPERTY INFORMATION <br />Common Address: c'42:, 5 m <br />Legal Description: Lot j0 BIk (e9 <br />Subdivision c k11C. Utp.uk.ELt <br />Area: {,,'43 Sq. Ft. <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 />U Final PUD <br />❑ Amended PUD <br />O Administrative PUD Amendment <br />❑ Special Review Use (SRU) <br />❑ SRU Amendment <br />❑ SRU Administrative Review <br />❑ Temporary Use Permit: <br />0 CMRS Facility: <br />A Other: (easement / right-of-way; floodplain; <br />nance• ested right; 1041 permit; oil / gas <br />pro uction permit) <br />PROJECT INFORMATION <br />Summary: �T>C7(-9c7(iia. sknJekc.E <br />A. t v' -C - Vi?,tr-l(Ars"--6 <br />-1° l(JGI_E-7Acc -= c -r c„,), t <br />-N-co Z'� %• F -1/47-.0L„._ '2,g7`r • <br />Current zoning: Y ---C--- Proposed zoning: go <br />c.41. r cc„� <br />SIGNATURE & pAE <br />G�(��� <br />JPrint: <br />Applicant: ="-- <br />Print:_.,.. •erc- <br />Owner: iLf77.I 41"-- //T//7 <br />Print: , Stir:NA N..) --e ILI-e Sse,n, <br />Representative: h -•_. <br />Print: C F'ttf i.(2--e-- <br />C_CITY <br />CITYSTAFF USE ONLY <br />0 Fee paid: <br />0 Check number: <br />O Date Received: <br />