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,II 1C.i_ty5r Department of Planning and Building Safety
<br />Om Louisville 749 Moir Seer l.auiwillc„CD8027 303335:4584 wwwkuo iSVIIICCa.gov
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<br />BOARD OF APPEALS APPLICATION
<br />CASE NUMBER:
<br />PATE RECEIVED:
<br />This appliestJon Is hereby made far an appeal of an erpreaan of he
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<br />code as provided in the International Building Cade as adopted.
<br />Owner Name Representative Nine (if different than owner)
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<br />Address; leo i'ii C brie Ar . Address:
<br />City: 1 47M IV -4./1 IV C'02fp: City: Zp•
<br />Phone: (3/75 fi) `12 - t0?X Phone: ( 7
<br />Email: der .friii rnttEP ,,*,ca.Cmr-t Email:
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<br />Descdption of the subject property (
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<br />Lot Block Subdivision c. s, Oz. it i..Ja1 e iIIC SArhi'
<br />Request (cite the specific section and subsection of the r� from which an appeal Is being raqueslad):
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<br />%s r re Cb rn , of s - ch 3q ;./.._SIGNATURE
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<br />Signature di Owner/Applicant'.>"--).,0,, .fi Date:
<br />Printed Name: .-DaV - --r t peek- Phone: ("" 3 ) Qf- - 6.173.
<br />Address: 14*IIS 0 Y'J € tin
<br />Email Address: r Q f r t6 tt;lly a
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<br />Prefered Method of Contact: D Phon Email
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