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LCityof Department of Planning and Building Safety <br />Louisville <br />COLORADO • SINCE 1878 749 Main Street # Louisville CO 80027 # 303.335.4592 # www.louisvilleco.gov <br />HISTORIC PRESERVATION APPLICATION CASE NO. <br />PROPERTY INFORMATION <br />Address: <br />Date of construction (if known): <br />Legal Description: Lot <br />Subdivision <br />M. <br />(attach separate sheet if necessary) <br />Landmarked Name and Resolution (if <br />applicable): <br />APPLICANT INFORMATION <br />Name: <br />Company: <br />Address: <br />Telephone: <br />Email: <br />OWNER INFORMATION (if not applicant) <br />Name: <br />Company: <br />Address: <br />Telephone: <br />Email: <br />TYPE (S) OF APPLICATION <br />• Historic Structure Assessment <br />Landmark <br />• Historic Preservation Fund Grant <br />Historic Preservation Fund Loan <br />Alteration Certificate <br />• Demolition Review <br />Pre -filing Conference with Historic <br />Preservation Commission <br />PROJECT INFORMATION <br />Summary: <br />SIGNATURES & DATE <br />Applicant Name (please print): <br />Applicant Signature: <br />Owner Name (please print): <br />Owner Signature: <br />