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IECavil <br />Louisville Department of Planning and Building Safety <br />COLORADO•SIVCE I87' <br />749 Main Street • Louisville CO 80027 • 303.335.4592 • www.louisvilleco.gov <br />LAND USE APPLICATION <br />APPLICANT INFORMATION <br />Firm:j3Lt)A.01'JE f¢1} -l•4- D <br />_k1 <br />Contact: CI -((t-15 C11140 <br />Address: 2"12 6t, -l/ = ST• <br />11)4,A/1 -Dm -ILO X30 l <br />Mailing Address: <br />S14-M.l t`i 1-401A� . 12. - lit t..! U A <br />Telephone: 3Q3 - 35-1 - l'N.o4} <br />Fax: — <br />Email: CIO -1S 1S E.:3LDILA LLECTI✓E •C -t - <br />ALkoL)ED 1.3 R -E a(4JE, ELJS-i-l0.3C <br />OWNER INFORMATION <br />Firm: —� <br />Contact: J KSSE ANKI (AfTLO <br />Address:11+ I4-1. Tp,-MA-C-1VST. <br />I _to 1 (L0; CO .90672---7 <br />Mailing Address: Skit/1E- <br />k►t/1ETelephone: <br />Print: (1J/210C 4 r-{+ i <br />Li % "5 <br />Telephone:— !rI 1 - X - 6 (p <br />Fax: — <br />Email: A1\11/1,t.1DJESSe@ I-IOTM-R,.WI'll <br />REPRESENTATIVE INFORMATION <br />Firm: P,1.DL. ouj z n .j d.b4 <br />Contact: CA -02- \ 5 411-11/401 <br />Address: ice 12_ L. -t Sr <br />$rivtl� W RP '(:)1 <br />Mailing Address: SAv►r <br />Telephone: "303 - 3�1 - 131A -- <br />Fax: <br />Email: ciilLt5 Q'6l.D4 Cot,kCT 'E, C•a+'\ <br />PROPERTY INFORMATION <br />Common Address: 111. 1/..-1. TA41vtAi2tSv ST <br />Legal Description: Lot (pet- BIk <br />Subdivision l_lc 1,1217) P -U0 <br />Area: Sq. Ft. <br />.�°p3$ <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 />❑ Final PUD <br />❑ Amended PUD <br />❑ Administrative PUD Amendment <br />❑ Special Review Use (SRU) <br />❑ SRU Amendment <br />❑ SRU Administrative Review <br />0 Temporary Use Permit: <br />❑ CMRS Facility: <br />pal Other: easement / right-of-way; floodplain; <br />ested right; 1041 permit; oil / gas <br />pro•uction permit) <br />PROJECT INFORMATION <br />Summary: A -DI T101--1 A tt..ti,(L- <br />S14-M.l t`i 1-401A� . 12. - lit t..! U A <br />I .P1 (,UVlclA VA12-1/ -N Le - <br />ID 1 Ki -74c C -n-{ E Ivor" <br />C\I \e,k---A, To 167.FvM 2CU 7. <br />ALkoL)ED 1.3 R -E a(4JE, ELJS-i-l0.3C <br />koQSE IS Z `), /z?" c-0veLhS(::•- • <br />Current zoning: _ j2t' Proposed zoning: 2_t' <br />SIGNATURES & DATE- / <br />Applicant: C N- i 5 4 /=•A t" / 1 ' l LES <br />Print: (1J/210C 4 r-{+ i <br />Owner: <br />42/' <br />Print: T-ESSe- C4S i Ila <br />Representative: -,/21 <br />Print: C µ12_1 S 4 I/ <br />CITY STAFF USE ONLY <br />0 Fee paid: <br />0 Check number: <br />0 Date Received: <br />