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Citytf Department of Planning and Building Safety <br />Om Louisville <br />COLORADO • SINCE 1878 <br />749 Main Street # Louisville CO 80027 * 303.335.4592 # www louisvilleco.gov <br />HISTORIC PRESERVATION APPLICATION <br />PROPERTY INFORMATION <br />Address: (, ZO &ra✓ "} A t. <br />Date of construction (if known): I q D S - Igo 6 <br />Legal Description: Lot 4 -S Blk L Z- <br />Subdivision Pj scle0- 14.1H L 1;o. <br />lfApplicable: Landmark Name/Resolution <br />J-}arr\e y 1-lc./$e_ <br />Res. No. Year <br />APPLICANT INFORMATION <br />Name: 1Zi E.A• `- JJ b I e- SCh d'edeNA <br />Company: <br />Address: b ZO (7r-cti J A tl C <br />Telephone: 3 -3SG -3 t-j6S <br />Email: rick _+^ I c°It_pc- �r}' yrkkz,toll <br />OWNER INFORMATION (if not applicant) <br />Name: <br />Company: <br />Address: <br />Telephone: <br />Email: <br />CASE NO. 1P r 0233 --,9o1 <br />TYPE (S) OF APPLICATION <br />c i Historic Structure Assessment <br />❑ Landmark <br />® Historic Preservation Fund Grant <br />O Historic Preservation Fund Loan <br />❑ Alteration Certificate <br />O Demolition Review <br />O Pre -filing Conference with Historic <br />Preservation Commission <br />PROJECT INFORMATION <br />(Attach additional pages if necessary) <br />Summary: irS))al>DA <br />SIGNATURES & DATE <br />Applicant Name (please print): <br />Ui cC\ SCk()C‘./'1 \ <br />Applicant Signature: <br />Owner Name (please print): <br />Owner Signature: <br />