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Fs City of Louisville <br />Louisville City Hall <br />Planning Department <br />749 Main St. <br />303.335.4592 <br />Louisville, CO 80027 <br />LAND USE APPLICATION <br />Contact: <br />Address: <br />APPLICANT INFORMATION <br />Finn: L c '(" ( Q (...LC <br />e,,,. WV - RA twoc) <br />6Q31 v»k.) k `J+i <br />ao B d Cat'. <br />Mailing Address: e 3 •CV:)AJ4 ' <br />Telephone: S C S ct - ((p { �• <br />Fax: <br />Email:_Seta.i17t Jeta ©►fQ►?'?la.(D <br />Fimt: <br />OWNER INFORMATION <br />Contact: yt. ,r <br />Address: <br />Mailing Address: <br />Telephone: <br />Fax: <br />Email: <br />REPRESENTATIVE INFORMATION <br />Firm: <br />Contact:.3 Y . VAC Gel. p,,..) 0 5 <br />Address: i 0 c l <br />(ou .%rvilk_ Co iy1' <br />Mailing Address: 5,A,t,,g, <br />Telephone: SUY" d33 • 1(091- <br />Fax: ,r7 <br />Email: Bra,,,,.�0p,) e WClrli"te Q . j+rt <br />PROPERTY INFORMATION <br />Compton Address: 31 �` rrp+.+u Si, <br />Legal Description: Lot Blk <br />Subdivision <br />Area: Sq. Ft. <br />CASE NO. _t) DIU - UR <br />TYPE (S) <br />❑ Annexation <br />El Zoning <br />• Preliminary Subdivision Plat <br />❑ Final Subdivision Plat <br />❑ Minor Subdivision Plat <br />U Preliminary Planned Unit Development <br />(PUD) <br />❑ Final PUD <br />U Amended PUD <br />U Administrative PUD Amendment <br />Special Review Use (SRU) <br />O SRU Amendment <br />U 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: G� C4Ciop - 6 <br />.lit-i- r <br />Current zoning: <br />Proposed zoning: <br />• <br />Applicant: <br />SIGNATURES & DATE <br />Print:` d., Oti cutw iS <br />Owner: <br />Print: <br />Representative: <br />Print: <br />CITY STAFF USX ONLY <br />Fee paid: <br />Check number: yf 3 2 i <br />Date Received: <br />lA`f 07 2010 <br />25 <br />PLANNING <br />NtNG <br />