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L City of 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 />ELECTRONIC HISTORIC PRESERVATION HEARING REQUEST CASE NO: <br />PROPERTY INFORMATION TYPE(S) OF APPLICATION <br />Address: <br />Year of Construction: <br />Legal Description: <br />Landmark Name and Resolution (if applicable): <br />APPLICANT INFORMATION <br />Name: <br />Company: <br />Address: <br />Telephone: <br />Email: <br />OWNER INFORMATION <br />Name: <br />Company: <br />Address: <br />Telephone: <br />Email: <br />❑ Probable Cause/Historic Structure Assessment <br />❑ Landmark Designation <br />❑ Historic Preservation Fund Grant <br />❑ Historic Preservation Fund Loan <br />❑ Landmark Alteration Certificate <br />❑ Demolition Review <br />❑ Other: <br />I hereby request the public hearing(s) on this application be <br />scheduled to be conducted by Electronic Participation in <br />accordance with the attached Resolution No. 30, Series 2020, <br />as adopted by the City Council on April 7, 2020, if such <br />hearing(s) can be scheduled during a time period when in - <br />person meetings are not being held due to a health epidemic <br />or pandemic. I acknowledge that holding a quasi-judicial <br />hearing by Electronic Participation may present certain legal <br />risks and involves an area of legal uncertainty, and that having <br />this application heard at a meeting held by Electronic <br />Participation is optional and undertaken at my own risk. I also <br />understand that in -person meetings are preferred for quasi- <br />judicial hearings, and that even if electronic hearing(s) are <br />scheduled, this application will be heard at an in -person <br />meeting if in -person meetings have resumed by the scheduled <br />hearing date(s). <br />SIGNATURES AND DATES <br />Applicant Name <br />Applicant Signature <br />Owner Name <br />Owner Signature <br />Date <br />Date <br />