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Citytaf <br />Louisville <br />FM -5;Na, th;w <br />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: SO c t LY1(C5 <br />Contact: Wk.( D`unt;¢-trill i Porliyivi. MC-i: V.ic <br />Address: 2.I 5-L Y C4Y yt 1 4- <br />Mailing Address: '2-I5t r7fi ✓ t Si u t <br />Telephone: -la ' 38 { - VI 'I <br />Fax: <br />Email: Al (t‘k. ,Si; toe i-ti;r11-eS ecryi MitL,• <br />OWNER INFORMATION <br />Firm: <br />Contact: /1/411141,-` &Lila ditty te.5 ill-icvto <br />Address: 432'i 't t - ;;,iir6t-ori v vc L t vi,i.. <br />1.-t tti vote; CC Li;z 1 <br />Mailing Address: 32 i vv . S.' CJ vytwve f ity .(, <br />LAmic ittC, Ct, �51i;1r <br />Telephone: ° 1-f; -;21 - 15f. 2. <br />Fax: <br />Email: f rti j6tttt4lr t ti<i (a t'lil icti" i- . Cc1,1--1 <br />REPRESENTATIVE INFORMATION <br />Firm: <br />Contact: <br />Address: <br />Mailing Address: <br />Telephone: <br />Fax: <br />Email: <br />PROPERTY INFORMATION <br />Common Address: <br />Legal Description: Lot Bik <br />Subdivision <br />Area: 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 />❑ Special Review Use (SRU) <br />❑ SRU Amendment <br />0 SRU Administrative Review <br />❑ Temporary Use Permit: <br />❑ CMRS Facility: <br />g Other: (easement / right-of-way; floodplain; <br />variance; vested right; 1041 permit; oil / gas <br />production permit) <br />PROJECT INFORMATION <br />Summary: Add l tt ) (22' ,. 1 -IA-) i vTh <br />xt 16'06 p) ak is t . #-Relit cvi "jL: <br />i►tcidtAA. i tv (v1c s- .V iaerttl°.r v nil (tad <br />Ct /,tf' . At Ui VV Y.itir-i et t/Y 5iil i /1 ; <br />i'tr'tika WWt► llcvv4. <br />Current zoning: Proposed zoning: <br />SIGNATU ES DA T ,"F, f <br />Applicant:t I i I <br />Print: '">! .. i ari IAcik'i M:-C <br />Owner: <br />Print: tkl(litil titV1-fi1. rri'l <br />Representative: <br />Print: <br />CITY STAFF USE ONLY <br />0 Fee paid: <br />❑ Check number: <br />0 Date Received: <br />