Board of Adjustment Agenda and Packet 2014 11 19

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ILZ City {I, Louisville Department of Planning and Building Safety 749 Main Street * Louisville CO 80027 • 303.335.4592 www.louisvilleco.gov LAND USE APPLICATION APPLICANT INFORMATION Firm: XCEL Energy Contact: Adam R. Pena Address: 1123 West 3rd Avenue Denver, CO 80223 Mailing Address: Same as Above Telephone: (303) 571 -3305 Fax: (612) 573 -9429 Email: adam.r.pena @xcelenergy.com SIGNATURES & DATE Applicant: OWNER INFORMATION Firm: Same As Above Contact: Address: Representative: Mailing Address: Same as Above Telephone: Fax: Email: ❑ Date Received: REPRESENTATIVE INFORMATION Firm: Short Elliott Hendrickson Contact: Michelle Morgan, P.E. Address: 2000 South Colorado Blvd, suite 6000 Denver, CO 80222 -7938 Mailing Address: Telephone: (303) 586 -5809 Fax: (888) 908 -8166 Email: mmorgan @sehinc.com PROPERTY INFORMATION Common Address: Approx. SH 42 & Empire Dr._ Legal Description: Lot x Blk x Subdivision x Area: —297292- 200 Sq. Ft. CASE NO. TYPE (S) OF APPLICATION ❑ Annexation 0 Zoning ❑ Preliminary Subdivision Plat ❑ Final Subdivision Plat 0 Minor Subdivision Plat ❑ Preliminary Planned Unit Development (PUD) ❑ Final PUD 0 Amended PUD ❑ Administrative PUD Amendment ❑ Special Review Use (SRU) O SRU Amendment ❑ SRU Administrative Review ❑ Temporary Use Permit: 0 CMRS Facility: M Other: (easement / right -of -way; floodplain; variance; vested right; 1041 permit; oil / gas production permit) PROJECT INFORMATION Summary: Proposed replacement of 16" gas main. The proposed gas main is to be bored under the floodplain. However, this will involve creation of a bore pit within the floodplain. The ground will be returned to existing elevations once the boring & related construction are complete. Current zoning: Proposed zoning: SIGNATURES & DATE Applicant: Print: Owner: Print: Representative: Print: CITY STAFF USE ONLY ❑ Fee paid: ❑ Check number: ❑ Date Received: