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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 />PPLICANT IN RMATION <br />Firm: /2 V PIE 4 I- P <br />Contact: o • i vg <br />Address: <br />Mailing Address: <br />.o. felt goo <br />12ViEl-1, cow. <br />Telephone: �/) 5'7,O q 7 q 6 6g `t► <br />Fax: SO) 4oT 0 /7e <br />Email: JDn . rti 67 ? Ica S t . n of <br />OWNER INFORMATION <br />Firm: <br />Contact: HOAJ 1 C k <br />Address: 1 LJ'° 'J b . fkW E t/ R..P • <br />54ii1rt 8 IZBARA f A- 93103 <br />Mailing Address: <br />Telephone: <br />Fax: <br />Email: <br />REPRESENTATIVE INFORMATION <br />Firm: <br />Contact: <br />Address: <br />SSE <br />itiroutiv <br />Mailing Address: <br />Telephone: <br />Fax: <br />Email: <br />PROPS TY I1V ORMATIO <br />Common Address: Jii75 Ft12T1I K Q rr tie. • <br />Legal Description: Lot `7 Blk J <br />Subdivision 0 <br />Area: 107 $ Sq, Ft. <br />CASE NO. P?-DaP-FP <br />TYPE (S) <br />❑ Annexation <br />❑ Zoning <br />O Preliminary Subdivision Plat <br />O Final Subdivision Plat <br />❑ Minor Subdivision Plat <br />O Preliminary Planned Unit Development <br />(PUD) <br />a 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 />Summary: <br />PROJECT INFORMATION <br />Current zoning: /N A . Proposed zoning: / VP. <br />Applicant: <br />Print: <br />Owner: <br />Print: <br />Representative: <br />Print: <br />ATU>S & j� TF� <br />kO <br />lit i' 1oN1? (4 (C-(4/ <br />CITY STAFF USE ONLY <br />❑ Fee paid: <br />❑ Check number: <br />❑ Date Receive& <br />AUti 14 2008 <br />PLANNING <br />23 <br />