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LE 'Lily Community Development <br />uis <br />COLORADO-SINC] 749 Main Street , Louisville CO 80027 # 303.335.4592 , www.louisvilleco.gov <br />HISTORIC PRESERVATION APPLICATION CASE NO. <br />PROPERTY INFORMATION <br />TYPE(S) OF APPLICATION <br />1155 Pine <br />Address: <br />❑✓ Probable Cause/Historic Structure <br />Date of Construction: 1900, 1915, —1900, —1905 <br />Assessment <br />Legal Description: <br />❑ Landmark <br />ElHistoric Preservation Fund Grant <br />Lot: Block: <br />❑ Historic Preservation Fund Loan <br />Subdivision: <br />❑ Alteration Certificate <br />Landmark Name and Resolution (if applicable): <br />❑ Demolition Review <br />❑ Other: <br />APPLICANT INFORMATION <br />REQUEST SUMMARY <br />Name: Travis Ramos <br />(Please see attached - HSA requested for <br />Company: The LouisvilleCaboose <br />1155 Pine miner's cabin, 1915 caboose, <br />early 1900s boxcar, and historic Kite Route train tracks. <br />Address: 731 Pine Needle Ln. <br />Louisville, CO 80027 <br />720-382-8727 <br />Telephone: <br />Email: ramosfamily@thelouisvillecaboose.com <br />OWNER INFORMATION (IF DIFFERENT) <br />SIGNATURES AND DATE <br />Name: <br />Travis Ramos 09/14/2023 <br />Company: <br />Applicant Name (print) Date <br />09/14/2023 <br />Address: <br />Applicant Signature <br />0911412023 <br />Telephone: <br />Owner Name (print) Date <br />Email: <br />Owner Signature <br />