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LL LE'y" Department of Planning and Building Safety <br />Louisville _ <br />749 Main Street , Louisville CO 80027 • 303,335.4592 • www.louisvilleco.gov <br />LAND USE APPLICATION CASE NO. <br />APPLICANT INFORMATION <br />Firm: <br />Contact: <br />Address: h je— <br />Mailing Address: <br />Telephone: <br />Fax: <br />Email: <br />OWNER INFORMATION <br />Firm: <br />Contact: QX1 <br />Address: <br />Mailing Address: <br />Telephone:L��-zlp. <br />Fax: <br />Email. <br />REPRESENTATIVE INFORMATION <br />Firm: <br />Contact: <br />Address: <br />Mailing Address: <br />Telephone: <br />Fax: <br />Email: <br />PROPERTY INFORMATION <br />Common Address: <br />Legal Description: Lot Blk <br />Subdivision <br />Area: Sq. Ft. <br />TYPE (S) OF APPLICATION <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 />C7 Amended PUD <br />❑ Administrative PUD Amendment <br />❑ Special Review Use (SRU) <br />❑ SRU Amendment <br />❑ SRU Administrative Review <br />❑ Temporary Use Permit: <br />Q CMRS Facility: <br />Other: (easement 1 right-of-way; fioodplain; <br />arianc vested right; 1041 permit; oil J gas <br />pro uc Eon permit) <br />PROJECT INFORMATION <br />Summary; <br />Current zoning: SFL� Proposed zoning: <br />SIGNATURES & DAT <br />Applicant: <br />Print: <br />❑weer; <br />Print: r l'/'04. of 41 2rZ�% <br />Representative: <br />Print: <br />CITY STAFF USE ONLY <br />❑ Fee paid: <br />ZI Check number: <br />❑ Date Received: <br />