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ElCity of Louisville <br />Louisville City Hall <br />Planning Department ; 0 ; _; ; 5.4 9 <br />749 Main St. Louisville. CO 8002 <br />LAND USE APPLICATION <br />APPLICANT INFORMATION <br />Firm: Q51- <br />Contact: S` z }*-- 0; <br />Address: <br />Telephone: <br />Fax: ci 1';�` v� <br />Email: <br />Signature / Date:L� <br />Firm: <br />Contact: <br />Address: <br />f-. <br />fw C v b,-) L-A c . Lc . vl <br />ce Trtt�ir�-�� h, \‘, C r: <br />OWNER INFORMATION <br />\'-,k ---A L \ ,sv.\\z- <br />Telephone: <br />Fax: <br />Email: <br />Signature / Date: <br />REPRESENTATIVE INFORMATION <br />Firm: <br />Contact: <br />Address: <br />Telephone: <br />Fax: <br />Email: <br />Signature / Date: <br />PROPERTY INFORMATION <br />Common Address: T ,,, ! ,r±,: \ <br />Legal Description: -bet - <br />'Ur? T,- q1,t.1 <br />Current Zoning: <br />Lot Area: SF / Acres <br />Building Area: SF <br />❑ <br />❑ <br />Case Manager: <br />Date Received: <br />Fee paid: <br />CASE NO. P3 - 00.3 <br />TYPE (S) <br />(revised 5 14 2002) <br />F-1 <br />Annexation <br />Zoning / Rezoning <br />Subdivision Plat: Prelim.. Final. Minor <br />Planned Unit Development (PUD): <br />Prelim., Final. Amended. Admin. Amend <br />Special Review Use (SRU) <br />SRU Amendment <br />Temp. Use Permit: trailer, sign, event. sales <br />(start date end date <br />(Hours of operation: <br />BOA: Variance, oodplain ppeal <br />CMRS Facility: Adnzin.. Public Hearing <br />Other: easement/right-of-war: vested right: <br />1041 permit: oil/gas production permit <br />APPLICATION SUMMARY <br />CITY STAFF USE ONLY <br />31 Vim . .\� -\_c _ sCr t_ <br />Referrals sent: <br />Public Notice: <br />PC Resolution No. <br />CC Resolution No. <br />Ordinance No. <br />Final documents received: <br />Documents sent for recording: <br />Project Summary: <br />, Series <br />, Series <br />Series <br />