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LCityqr <br />Louisville Department of Planning and Building Safety <br />749 Main Street • Louisville CO 80027 • 303.335.4592 • www.louisvilleco.gov <br />LAND USE APPLICATION <br />APPLICANT INFORMATION <br />Firm: (.'uJi'i (2- <br />F_'i''r L-, &trio <br />Contact: . <br />Address: 7i ! J r" /u �1--- G r . <br />Lou i S U i LLJ C 0 �7 <br />Mailing Address: ,F}m F <br />Telephone: rS63 — 64 — Z 2'S 7 <br />Fax: <br />�`� <br />Email: ro Ai I0u C4D t act 1�ihDa GhrYL_ <br />c <br />OWNER INFORMATION <br />Firm: NO NS F <br />Contact: CIF 1, - gu C <br />Address: 7 ( ( 1.D 4-2-0.3 Let— S"r <br />L>q).SU 1Ue.. k)o)7 <br />JCL) <br />Mailing Address: S tkrrk E✓. <br />Telephone: 3 6'r .4,4.6 - h �s 7 <br />Fax: <br />Email: re) S l Dtiic-5c.;>.Le,.t_ Y►^- <br />REPRESENTATIVE INFORMATION <br />Firm: OIJ <br />Contact: ,N3 lcz- 4 . gum <br />Address: ], . 0 P f1-,r r- A_,,., , <br />Lou ;so i e CO 2'06 ,71 <br />, <br />Mailing Address:-cnYYi€ <br />Telephone: 7 O •- d a ( — <br />Fax: <br />Email: ('©N b', . ( 'c UGt f\bD . ciNne,- <br />PROPERTY INFORMATION <br />Common Address: '7O 0j UU A-L_4Q T STR <br />Legal Description: Lot Blk <br />Subdivision c1 e r S 6 .3 f ci. (-_e— <br />Area: V) 9d ly 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 />❑ Final PUD <br />❑ Amended PUD <br />❑ Administrative PUD Amendment <br />0 Special Review Use (SRU) <br />0 SRU Amendment <br />0 SRU Administrative Review <br />0 Temporary Use Permit: <br />0 CMRS Facility: <br />Other: (easement / right-of-way; floodplain; <br />variance; vested right; 1041 permit; oil / gas <br />production permit) <br />PROJECT INFORMATION <br />Summary: $ Kr'P5 al f rva't-j U-e— <br />, Oco S i h re s -1` 14_ v.i \ - r ei <br />i&x <br />f <br />Current zoning: ge Proposed zoning: .44- <br />SIGNATURES & DATE <br />Applicant: <br />Print: <br />Owner: <br />Print: <br />�} O Pep — <br />Representative: ex? �f . ire <br />Print: �jtrav l-t-b. a , gu- <br />CITY STAFF USE ONLY <br />❑ Fee paid: <br />❑ Check number: <br />E] Date Received: <br />