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giCity of Louisville Planning Department 303.335.4592 <br /> Louisville City Hall 749 Main St. Louisville,CO 80027 <br /> LAND USE APPLICATION CASE NO. Or' 1)47 a —1/A <br /> APPLICANT INFORMATION <br /> TYPE (S) <br /> Firm: U Annexation <br /> Contact: U Zoning <br /> Address: _ O Preliminary Subdivision Plat <br /> O Final Subdivision Plat <br /> U Minor Subdivision Plat <br /> Mailing Address: O Preliminary Planned Unit Development(PUD) <br /> O Final PUD <br /> U Amended PUD <br /> Telephone: ® Administrative PUD Amendment <br /> Fax: Special Review Use(SRU) <br /> O SRU Amendment <br /> Email: O Temporary Use Permit: <br /> CMRS Facility: <br /> OWNER INFORMATION Other: (easement-/_right-of-*ay;floodplain; <br /> variance;vested right; 104f permit;oil/gas <br /> Finn: � / _ production permit) <br /> Contact:f�1 k k a Yl4MC115,$0. Q'I 1 �CyS <br /> Address: �� � -S-F _ _ _ _ _ PROJECT INFORMATION <br /> L 2j Sy 1l Summary: <br /> Mailing Address: <br /> Telephone: 3o 5- (Q(p(o (n c D L <br /> Fax: <br /> Email: O At. 1,(L,. : OQIr.(g.✓1(�C:V 11 01�.0, • <br /> REPRESENTATIVE INFORMATION Current zoning: Proposed zoning: <br /> Firm: - <br /> Contact: SI; <br /> NA DATE <br /> _r • � I imiw <br /> Address: - - - <br /> P <br /> Owner: �Q , <br /> Mailing Address: - <br /> Print: SS 0.1,161/ <br /> Telephone: Representative: <br /> Print: <br /> Fax: <br /> Email: - - - <br /> CITY STAFF USE ONLY <br /> PROPERTY INFORMATION O Fee pan: <br /> 0 Check number: _ <br /> Common Address: 1o'lS t om- est I] Date Received. <br /> Legal Description:Lot ► eX('efr}-4b��llc ea * so...7.54 S [ W { <br /> Subdivision c r wo.4, Ii <br /> Area: 311 a• 9 Sq.Ft. 1111OCT 15 2008 .,J <br /> 16 PLANNING REVISED AUGUST 2007 <br />