Planning Commission Agenda and Packet 2021 11 11

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`! Eltuyi'�'fville L Department of Planning and Building Safety COLORADO- SINCE 1R78 749 Main Street # Louisville CO 80027 • 303.335.4592 • www.louisvilleco.gov ELECTRONIC LAND USE HEARING REQUEST CASE NO. APPLICANT INFORMATION Firm: Contact: VL, Ir Address: Mailing Address: Telephone: Fax: Email: OWNER INFORMATION Firm: Contact: (�11 Address: 3 Mailing Address: `l - Telephone: Fax: Email: (N(t.-5 W '59- 6�=+� ,li REPRESENTATIVE INFORMATION Firm: Contact: Address: Mailing Address: Telephone: Fax: Email: PROPERTY INFORMATION. Common Address, ) f L-( Z Legal Description: Lot Ik Subdivision 'dc�4 Area: _Z'ErFU0-)- -- Sq. Ft. I TYPE (S) OF APPLICATION 0 Annexation 0 Zoning 0 Preliminary Subdivision Plat O Final Subdivision Plat O Minor Subdivision Plat 0 Preliminary Planned Unit Development (PUD) 0 Final PUD 0 Amended PUD 0 Administrative PUD Amendment O Special Review Use (SRU) 0 SRU Amendment O SRU Administrative Review 0 Temporary Use Permit: O CMRS Facility: Other: (easement / right-of-way; fioodplain; variance; vested right; 1041 permit; oil / gas production permit) Fadopted est the public hearing(s) on this application be be conducted by Electronic Participation in j ith the attached Resolution No. 30, Series 2020, by the City Council on April 7, 2020, and in ith Resolution No. 38. Series 2020, as adopted by City Council on June 2, 2020 if such hearing(s) can be scheduled during a time period when in -person meetings are not being held due to a health epidemic or pandemic. I acknowledge that holding a quasi-judicial hearing by Electronic Participation may present certain legal risks and involves an area of legal uncertainty, and that having this application heard at a meeting held by Electronic Participation is optional and undertaken at my own risk. I also understand that in -person meetings are preferred for quasi-judicial hearings, and that even if electronic hearing(s) are scheduled, this application will be heard at an in -person meeting if in - person meetings have resumed by the scheduled hearing date(s). I further agree to defend and indemnify the City of Louisville in any action that may arise out of, or in connection with, conducting the hearing by Electronic Participation. SIGNAT Applicant: _1=�' "'M Print: i Owner: 1 Print: 15AVivi AcDIVE9 Representative. /?MC5 LLC /�1A�lltt4f� Print: CITY STAFF USE ONLY O Electronic Hearing Approved: 0 Date(s) of Hearing(s): 970.