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111 City of Louisville <br />Louisville City Hall <br />Planning Department <br />749 Main St. <br />303.335.4592 <br />Louisville, CO 80027 <br />LAND USE APPLICATION <br />APPLICANT INFORMATION <br />Finn: S} M <br />Contact: <br />Address: <br />e5E1-11-1\-TI\II <br />Mailing Address: <br />Telephone: <br />Fax: <br />Email: <br />OWNER INFORMATION <br />Finn: Cen , n►a1 lI !IC Preefilk,C YII J I,I,c• <br />Contact: 3C I lEkile J F 5lWS <br />Address: 2-9 % E. `(Ai, A' E . <br />t V - <br />Mailing Address: M <br />Telephone: 303 - 4592 - SWD <br />Fax: 303 - 450 - (0 (a 32- <br />Email: 5y e.P.s uot✓I be,1 GO . Gorn <br />REPRESENTATIVE INFORMATION <br />Firm: 3Atl cin Si"f0.leM an5v f ifAo <br />Contact: ��',1.{p is1 <br />Address: I I (05 S. fixrAsyIvan is 5}, /2-0 <br />J>owco .boZ 10 <br />Mailing Address: Ord <br />Telephone: 30 T - 5(vI - �3�3 <br />Fax: Oar 5(el- <br />Pmail• ' 5b& i1 ;Arl5Cn5,11-^Wrl•CO►'A <br />PROPERTY INFORMATION <br />Common Address: Lj 9 S _ /44 K,, I et <br />Legal Description: Lot I Blk 1 <br />Subdivision Cen'knriin) tt, l)ty, 5091nIS`: J ri.. <br />Area: Sq. Ft. Q <br />CASE NO. <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 />g. Final PUD <br />❑ Amended PUD <br />❑ Administrative 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 />1 PROJECT INFORMATION <br />Summary: C_OM-S uO7/07,( OF f1 <br />3 5-1-5/ Ke.Y Pad-r/k w/ <br />11 ►Nk 5rM- . .t vr; <br />7'rlp.v 7Eu-gZ <br />Current zoning. P C- Proposed zoning: /- L <br />Applicant: <br />Print•. <br />Owner <br />SIGNATURES & DATE <br />Print: — <br />Represents <br />Print: C <br />CITY STAFF USE ONLY <br />O Fee paid: <br />❑ Check number: <br />Q Date Received: <br />23 <br />