HomeMy WebLinkAboutSUP-95-3
The City o1
ADMINISTRATIVE PROCESS APPLICATION
Wheat
Rid~ra Department of Planning and Development
b 7500 West 29th Ave., Wheat Ridge, CO 80033
Phone (303) 237-6944
ApplicantsIifav,CnrrF~/oPH-EIaEAddress 3/~{O GUEBSTE~Q Phoneo?.~.~$7~
Owner ~~,p~~,7y-f ,7jOro;[f-~/ate Address j/yLp L~B~ST6,~' Phone,~~~-/d77
Location of request ~/y-D /~~
Type o£ action requested (check one or more of the actions listed below
which pertain to your request.)
^ Change of zone or zone conditions
Site development plan approval
Special use permit
Conditional use permit
Temporary use/building permit
Minor subdivision
Subdivision
8 Preliminary
Final
** See attached procedural guide
for specific requirements.
Detailed Description of request
Variance/Waiver
Nonconforming use change
Flood plain special exception
Interpretation of code
Zone line modification
Public Improvement Exception
Street vacation
Miscellaneous plat
Solid waste landfill/'
mineral extraction permit
^ Other
I certify that the information and exhibits herewith submitted are true and
correct to the best of my knowledge and that in filing this application I
am acting with the knowledge and consent of those persons
without whose consent the requested actior, cannot lawfully
Applicants other than owners must submit power-of-attorney
which approved of this action on his behalf.
Signature of Applicant
Subscribed and sworn to me
SEAL
R P.RAI VAA
day of
listed above,
be accomplished.
from the owner
19 7Jr
My commission expires
Ronoi nt TTn
r ~ ~ e r.,.
List all persons and companies who hold an interest in the described real
property, as owner, mortgagee, lessee, optionee, etc.