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ECity of Louisville <br />Louisville City Hall <br />Planning Depai tiuent <br />749 Main St. <br />303.335.4592 <br />Louisville, CO 80027 <br />LAND USE APPLICATION <br />i <br />Firm: <br />Contact: <br />APPLICANT INFORMATION <br />01A tyv._" 8c6 <br />NAr., Cl., <br />Address: sg s E <br />igivt> ,,I\� <br />Mailing Address: <br />Telephone: 1a.0 'Ac1U— %9 3-z) <br />Fax: *MD -6 89L, - SOD- <br />Email: t,3U SAC_ CS` R e y Ak-K, � 1 <br />Firm: <br />Contact: <br />OWNER INFORMATION <br />A5L\ <br />T 7n,, <br />Address: Snn770 Soil.. `BtA<L-. C <br />l , Rcc,r.l,svov U ,8Cj 1 a <br />CO <br />Mailing Address: <br />Telephone: <br />Fax: <br />Email: <br />3 0.3 _ <br />3Q3 -2.z1 - "131Z <br />REPRESENTATIVE INFORMATION <br />Firm: <br />Contact: <br />Address: <br />Mailing Address: <br />Telephone: <br />Fax: <br />Email: <br />PROPERTY INFORMATION <br />Common Address: 5S E , \ar'i. <br />Legal Description: Lot Blk <br />Subdivision <br />Area: Sq. Ft. <br />CASE NO. D 9— 00 3 " IJR <br />TYPE (S) <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 />V❑ �rdministrative PUD Amendment <br />Special Review Use (SRU) <br />❑ SRU Amendment <br />❑ Temporary Use Permit: <br />❑ 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: <br />Current zoning: Proposed zoning: <br />..51ERS & <br />Applicants/ <br />Print: t c.`1A o- rti P k <br />Owner: V <br />Print: <br />�..� .T 13rz,o,�l <br />Representative: <br />Print: <br />CITYSTAFF USE ONLY <br />❑ Fee paid: / i7 2 1) <br />❑ Check number: . b 1p / <br />U Date Received: <br />MAR 2 3 2009 <br />PLANNING <br />