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LHCity>r , <br />Louisville Department of Planning and Building Safety <br />counc:aoo si ce IS7N 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: t�-E o RAJ ('l soul <br />Address: 20 Short 1 G Ce <br />�oc,-,isv:lle Co F0j27 <br />Mailing Address: 5'1741f <br />Telephone: 3o 3 - 72 S- 3 cf,? 3 <br />Fax: <br />Email: tt <br />OWNER INFORMATION <br />Firm: n /0.. Contact: 1 R-ooett. W, I /V sch F yrtry` COG W1,.S <br />Address: 2C i S`40ht r1cce f <br />LG4rSy',lte, C Z7 <br />Mailing Address: S,}r HE <br />Telephone: 30 3 - .7 25 - 3 Lf F 3 <br />Fax: <br />Email: IT @ CG Grt2 0, C t( <br />REPRESENTATIVE INFORMATION <br />/t/ Firm: / c <br />Contact: <br />Address: <br />Mailing Address: <br />Telephone: <br />Fax: <br />Email: <br />PROPERTY INF RM TrJO Q <br />Common Address: I Je �2 <br />Legal Description: Lot BIB <br />Subdivision �Ce H: c e;✓ �s <br />Area: 7 Q2 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 />❑ 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 />Other: (easement / right-of-way; floodplain; <br />variance; vested right; 1041 permit; oil / gas <br />production permit) <br />PROJECT (INFORMATION <br />Summary: RE4 6,cSt r,45 1r4r�4h <br />TV'Gwi 30 bct Sdba..ctc- i0 cvo(err <br />to erEctg l-S y 2`c4r <br />gar4y� Q�_ /612 <br />_�E <br />((ZoCkito <br />TTEYSGh Q�I <br />ptk� <br />/ �r _t�IO� <br />Lai`}:( S�IVTq Q S�E0( W the <br />reQ- N E cc v'me r crP tie <br />_r�EY�Y . <br />Current zoning: Proposed zoning: <br />SIGNATUT fS & DATE <br />Applicant: a - <br />Print: (� enhEr`H Lo, (S�r <br />Print: <br />Owner: <br />Print: h-eHKEt� /9• Lu lsew E Mtnq <br />Representative: <br />Print: <br />CITY STAFF USE ONLY <br />❑ Fee paid: <br />❑ Check number: <br />❑ Date Received: <br />