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City of Louisville <br />Louisville City Hall <br />Hall <br />LAND USE APPLICATION <br />APPLICANT INFORMATION <br />Firm: <br />Contact: <br />Address: j5D <br />(A,E 2 7 <br />Mailing Address: <br />Telephone: 2T7 //(OD <br />Fax: <br />^7 <br />fxa_ <br />Email:lt,� <br />Firm: <br />Contact: <br />Address: l l <br />Telephone: <br />Fax: <br />Email: <br />OWNER INFORMATION <br />r. 411 41P <br />CSC. <br />Mailing Address: r <br />REPRESENTATIVE INFORMATION <br />Firm: 114 <br />Contact: O- <br />Address: In7 1� <br />.i <br />Mailing Address: <br />Telephone: 303-5 2: a <br />t Co <br />LES <br />Fax: <br />Email: i <br />PROPERTY INFORMATION <br />Common Address: _137.$ <br />Legal Description: Lot 7 Blkk <br />Subd is. ision F r� <br />Area: 7-j Sq. Ft, <br />Planning Department <br />749 Main St. <br />303.335.4592 <br />Louisville, CO 80027 <br />CASE NO. i D 017- V A <br />TYPE (S) <br />Annexation <br />14 Zoning <br />Preliminary Subdivision Plat <br />Final Subdivision Plat <br />Minor Subdivision Plat <br />Preliminary Planned Unit Development <br />(PUD) <br />Final PUD <br />Amended PUD <br />1] Administrative PUD Amendment <br />Special Review Use (SRU) <br />SRU Amendment <br />Temporary Use Permit: <br />CMRS Facility: <br />LI Other: (easement right -of -way; tloodplaim <br />-ariance vested right; 1041 permit; oil gas <br />production permit) <br />PROJECT INFORMATION <br />Summary: O 3 <br />4' 17- <br />N eopfb? 'n.l) l` <br />FecIF <br />Current zoning: <br />Proposed zoning: <br />Owner: <br />Print: <br />Applica <br />Print: <br />Representative <br />Print: 1.JD'J' <br />DATE <br />CITY STAFF ISE ONLY <br />Fee paid: a o <br />LI Check number: 1„, cl'7 <br />Date Received: 1 i apt-0 <br />OCT 1 p 011 <br />W 1 X47 <br />1i[( <br />