Planning Commission Agenda and Packet 2017 06 08

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112 Cityof Om Louisville COLORADO ^ SINCE 1878 Department of Planning and Building Safety 749 Main Street • Louisville CO 80027 • 303.335.4592 • www.louisvilleco.gov LAND USE APPLICATION APPLICANT INFORMATION Firm: Contact: Address: PROJECT INFORMATION Summary: Mailing Address: Telephone: Fax: Email: OWNER INFORMATION Firm: Contact: Address: Mailing Address: Print: Telephone: Fax: Email: Print: REPRESENTATIVE INFORMATION Firm: Contact: Address: ❑ Date Received: Mailing Address: Telephone: Fax: Email: PROPERTY INFORMATION Common Address: Legal Description: Lot Blk Subdivision Area: Sq. Ft. 3 CASE NO. TYPE (S) OF APPLICATION ❑ Annexation ❑ Zoning ❑ Preliminary Subdivision Plat ❑ Final Subdivision Plat ❑ Minor Subdivision Plat ❑ Preliminary Planned Unit Development (PUD) ❑ Final PUD ❑ Amended PUD ❑ Administrative PUD Amendment ❑ Special Review Use (SRU) ❑ SRU Amendment ❑ SRU Administrative Review ❑ Temporary Use Permit: ❑ CMRS Facility: ❑ Other: (easement / right-of-way; floodplain; variance; vested right; 1041 permit; oil / gas production permit) PROJECT INFORMATION Summary: Current zoning: Proposed zoning: SIGNATURES & DATE Applicant: Print: Owner: Print: Representative: Print: CITY STAFF USE ONLY U Fee paid: ❑ Check number: ❑ Date Received: