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APPLICANT INFORMATION <br />I irnl: zy r7C-t lLrc 1 <br />oil titct: <br />tero <br />Jdress: 4,1V t1 <br />ac Gate Eifel 3[7 <br />�lailing Address: i4.4rL <br />I ckphone: .C)? g •'T 3 <br />Fax: `LLCf 6 <br />I= trail: bri.L rteralV't4 k ae!t_4. <br />OWNER INFORMATION <br />s cciin Ccnia o <br />1' (L Levy <br />Address _''zic.lo1r +G{tc' <br />�VtJf lit f A r2/1. el de- <br />Address: i <br />Finn: <br />Contact: <br />I City of Louisville <br />Louisville City Hall <br />LAND USE APPLICATION <br />felephone: 4j4/ 2 -1000 <br />Fax: /LI? t'eg2 <br />Email; c'I vt1 e pQ., .gIcn r� <br />Firm: <br />E'clntact: <br />!Address: <br />REPRESENTATIVE INFORMIATI( <br />O d S fG? P <br />'tailing Address: <br />e1eplione: <br />Fax: <br />Email: <br />PROPERTY INFORMATION <br />Common Address: 1 <br />Leeal Description: Lot <br />rtticli, ision <br />Sq. Ft. <br />Planning Department <br />749 Main St. <br />TYPE (S) <br />Annexation <br />Zoning, <br />Prehimin.ary Subdivision Plat <br />Final Subdivision Plat <br />LI Minor Subdivision Plat <br />Preliminary Planned Unit Development <br />(PUD) <br />Z Final PUD <br />Amended PUD <br />Administrative PUD Amendment <br />Special Review Use (SITU) <br />SRLJ Amendment <br />Temporary Use Permit: <br />("FIRS Facility: <br />Other: (easement right-o1 -way: Ilut}dplain. <br />variance: 1 ested riehl: I }-G I permit: of 1 gas <br />production permit) <br />PROJECT INFORMATION <br />S u 111111:11"N `2 £.4_ PG" ,a( fJ <br />Current zoning: B Proposed zonini.: <br />Applican <br />Print: <br />()wrier: <br />Print: <br />Representative: <br />Print: <br />CASE NO. CV 0;3 F F. <br />SIGNATURES .S: DATE- <br />CITY STAFF USE ONLY <br />Fee paid: <br />Check number: <br />ZI Date Received: <br />303.33 x.4592 <br />Louisville. CO 8O(]27 <br />ro) 1 E <br />OCT 16 2008 <br />PLANNING <br />