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Y�` <br />uis�i�le Department of Planning and BuildingESafety <br />I <br />C'Or.t3stAOO-NINL1.", 749 Main Street + Louisville CO 80027 # 303,335.4592 # www.louisvilleco.gov <br />ELECTRONIC LAND USE HEARING REQUEST CASE NO. <br />APPLICANT INFORMATION <br />Firm; ��L)tS�L[T`(2[M I�SL�Tf1I <br />Contact: <br />Address: V �V <br />Lng?U15U , �,7 0CZY <br />Mailing Address: <br />Telephone: 30-3. 66 52 } 6668 <br />Fax: r <br />Email: <br />OWNER INFORMATION <br />Firm. <br />Contact: T5 6a'l M e e"?ea tJ <br />Address: 601 ,f0hn50,2 <br />Mailing Address: <br />Telephone: '31]--556 -6006 <br />Fax: <br />Email: Y21 1,�,a_i7ea•u �P, G P i ,2 <br />REPRESENTATIVE INFORMATION <br />Firm: <br />Contact: <br />Address: <br />Mailing Address: <br />Telephone: <br />Fax: <br />Email: <br />PROPERTY INFORMATION <br />Common Address: 601H <br />Legal Description: Lot 2- Blk <br />Subdivision Lota►?soV �a,t7vu�S <br />Area: 14-5 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 (PUD) <br />❑ Final PUD <br />❑ Amended PUD <br />❑ Administrative PUD Amendment <br />❑ Special Review Use (SRU) <br />❑ SRU Amendment <br />❑ SRU Administrative Review <br />❑ Temporary Use Permit: <br />❑ CMRS Facility: <br />1�14 <br />O easement 1 right-of-way; floodplain; <br />variance vested right; 1041 permit; oif 1 gas <br />c ion permit) <br />I hereby request the public hearing(s) on this application be <br />scheduled to be conducted by Electronic Participation in <br />accordance with the attached Resolution No. 30, Series 2020, <br />as adopted by the City Council on April 7, 2020, if such <br />hearing(s) can be scheduled during a time period when in - <br />person meetings are not being held due to a health epidemic <br />or pandemic. I acknowledge that holding a quasi-judicial <br />hearing by Electronic Participation may present certain legal <br />risks and involves an area of legal uncertainty, and that <br />having this application heard at a meeting held by Electronic <br />Participation is optional and undertaken at my own risk. I also <br />understand that in -person meetings are preferred for quasi- <br />judicial hearings, and that even if electronic hearing(s) are <br />scheduled, this application will be heard at an in -person <br />meeting if in -person meetings have resumed by the <br />scheduled hearing date(s). I further agree to defend and <br />indemnify the City of Louisville in any action that may arise <br />out of, or in connection with, conducting the hearing by <br />Electronic Participation. <br />SIGNATURES AT <br />Applicant: <br />Print: ESL STE Lam] ph�`� <br />Owner: <br />Print: <br />Representative: <br />Print: <br />CITY STAFF USE ONLY <br />❑ Electronic Hearing Approved: <br />❑ Date(s) of Hearings): <br />