Laserfiche WebLink
UL 1tY,o} , Department of Planning and Building Safety <br />Louisville <br />c010RADO-sINCr 1676 749 Main Street o Louisville CO 80027 • 303.335.4592 s www.louisvilleco.gov <br />HISTORIC PRESERVATION APPLICATION CASE NO: <br />PROPERTY INFORMATION <br />TYPE(S) OF APPLICATION <br />Address: 1 L I VIC01 v) ANI'evl w <br />❑ Probable Cause/Historic Structure <br />LCA4 1 S I'll 2_ <br />Assessment <br />Landmark Designation <br />_ <br />Year of Construction: 4 <br />Legal Description: L0 w.3 W �I S.b <br />historic Preservation Fund Grant <br />Spy�,,+° �� <br />J <br />El Historic Preservation Fund Loan <br />❑ Landmark Alteration Certificate <br />zaotN' � <br />Landmark Name and Resolution ( f ppicable): <br />0 Demolition Review <br />VSf 11iER�O�e� 0 L4&-0— <br />❑ Other: <br />APPLICANT INFORMATION <br />REQUEST SUMMARY <br />Name: ���'1�� <br />(Attach additional pages if necessary) <br />l� v <br />ll <br />Company: e <br />Address: _ 7+ L1h � al n Av-p— <br />L owI\S\I i t I <br />Telephone: 3 63 0+3 <br />Email: <br />OWNER INFORMATION <br />SIGNATURES ANO DATES <br />Name: 5q VV1 °� <br />C U 4 <br />Ap icant N mjj-r7� <br />Company:-7 <br />Address: <br />Applicant 6nature Date <br />66,Y �L4✓1 <br />Telephone: <br />O r Na e <br />2-6 �3 <br />Email: <br />Owner Si ature Date <br />19 <br />