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3. Applicant's <br />CITY OF LOUISVILLE, COLORADO <br />APPEAL APPLICATION FORM <br />BOARD OF ADJUSTMENT <br />flame`1 V.C'c Q' -'c-2-1'\\Wc-oL <br />4. 0:wner's Name ;\o <br />5. Location <br />6. Describe <br />2. *Case No. <br />To be completed by Board <br />Hearing Date //NM gooP('! . <br />To be completed b'y Board <br />AddressjC;&4G <br />Address `Z; ���,,�� . <br />of Project mJ4r 1. (1t'c e 2 (4 _Bica, <br />Street Address and Subdivision Lot and Block No. <br />request showing justification and relief sought. <br />L4 fl �JA 7 J�J` ,C <br />ti- <br />`74i2.c "L-' Applicant's /-4- <br />'-r L /4'4' 1,,,zo-C,C Signature .vzrt�ti.- p<- . c z :.6 <br />36. <br />f <br />,'ov s1ons of the Zoning 0rdi <br />Pnance requiring the denial of the <br />LtJ-1.-f%r_4 <br />e—C <br />0 <br />4(2 emu.^C <br />A IZCLAci PC, h ur <br />permit <br />application. Completion of this section by the Chief Building Inspector. <br />ac`Caiio•cJ 4 /12 8= ,ti/ r1 i4 Fc z)CC-7 42 w,wer46.s ue /-/ <br />P 2eC=zUr PZ--'"U ec fogSc=7L / f-/.9L) _ S ��zT TO y <br />Pu .,c rat /4 r - Cl p- ,z , , .r J FvcC O il6-7'a. 4a- i/JC f5 <br />/,i /rtz� l 6 HT 1 s I �= I-// 7-7L--0 L_"LOTr-RJ /`=cZT 76 <br />A - Pt.( 6/ lc'- o7- a F ai <br />Note - <br />hearing <br />Building .I <br />Within 30 days from the date of application a Zoning Board <br />will be held. Applicant will be notified of the time and <br />Please submit with this form all pertinent data including <br />printed application, specifications and plans, as well as <br />information which would be helpful in the presentation of <br />pectar. <br />of Adjustment <br />date. <br />copies of <br />any additional <br />this case. <br />