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0.2 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 />Firm: <br />Contact: <br />Address: <br />APPLICANT INFORMATION <br />-T hz PcrFc;hwia & Scvtoe 1 <br />YYl I Clt el.e_ L ct h <br />1'12 S �1cl�n t- <br />I _aft iSvi Ile, co 8r00Z_ 7 <br />Mailing Address: I22(oZ ( i-t-C Drive. <br />G (od 1-(eO, CO E625 <br />Telephone: 720 -2 7 1- (p 7 2 ci <br />Fax: <br />Email: 111-10 _ i-Ch vsetik SC I1 (. C�V✓l <br />Firm: <br />OWNER INFORMATION <br />VO �(��h1E�St\;LL <br />Contact: SH N H S \ l c O)( <br />Address: Q O o X T <br />\;,LOE C` t Cc) 203c> L <br />Mailing Address: <br />Telephone: 3 U 3( "-{ S 3 2 <br />Fax: 303 y`{ rA 0.2G1,, <br />Email: i\\ L l E CJ ? \ 2— <br />REPRESENTATIVE INFORMATION <br />Firm: h(xvk *5Chic <br />t I(AVA . Bch <br />Contact: <br />Address: <br />i �{2 mAiy . eel <br />LccA(5*0 11.e, Co 6(Y 21 <br />Mailing Address: (ZZ(0Z WGtfIC <br />13 (th wl -R Ad, Co &X Z0 <br />Telephone: 30 3- 72 5 - fo 78 Z <br />Fax: 3 03-L13i-7i-199 <br />Email: rhICk le S~ 4 (( be001 Flea hcc. (G✓1'l <br />PROPERTY INFORMATION <br />Common Address: 1 Lj O plum S-sic CA - <br />Legal Description: Lot 01 -10 Blk cr <br />Subdivision • Q don ca 7Iov.L <br />Area: , ci 4 8 Sq. Ft. <br />CASE NO. fi Q - (D I `I - kA <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 />U Amended PUD <br />❑ dministrative 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 Summary: 11(..J2_, PC4C h1,c%JV SC k I <br />I rl -%C1,0 S -to I t -Y11/4Q J p-� 1! <br />(-1- l HZ°c, Main cri-ie e,+ a <br />Pre -sc. kkul / pviu.+-te.- elow v1-06./ se/tea <br />-Cc( Li -ic Zb chitdien u-}- a -i-iviu <br />Current zoning: Proposed zoning: <br />CITY STAFF USE ONLY <br />O Fee paid: <br />❑ Check number: <br />❑ Date Received: <br />23 <br />