HomeMy WebLinkAboutWA-96-30t.A) tT}t QRW UJ N
The Cify of
~1Vhe at ADMINISTRATIVE PROCESS APPLICATION
~Rid~re Department of Planning-and Development
6 7500 West 29th Ave., Wheat Ridge, CO 80033
!, Phone (303) 237-6944
Applicant,~~7~,6jl~j/JfJ Address. /~,~JQ/,1~~~~~phone~,~'°~.So-9f~'
Owner ~~ ltS /lr,~{trp~ "Addreess - Phone
Location of request- /~~j/D LJ h~..7.~~FNI~ -
Type of action requested (check one or more of the actions listed below
which pertain to your request.)
d Change of zone or zone conditions
Site development plan approval
Special use permit
Conditional use permit
Temporary use/building permit
Minor subdivision
Subdivision
Preliminary
8 Final
^ ** See attached procedural guide
for specific requirements.
Detailed Descr~tion of request
List all persons and companies who hold an interest in the described real
property, :as owner, mortgagee, lessee, optionee, etc.
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 listed above,
without whose consent the equested action canriot-lawfully be accomplished.
Applicants other than o e must su mit power-of-attorney from-the .owner
which approved of this action on ~}i~behalf.
Variance/Waiver.
Nonconforming use change
~] Flood-plain special exception
Interpretation of code
Zone line modification
Public-Improvement Exception
Street vacation-
Miscellaneoias plat
Solid waste landfill/
mineral extraction permit
^ Other-
r___r_,F,~r., . u- ~, +rc ' [(J ('~ar~/iL~acG - -
z~ ~r',tFLD /G97~.P
Signature bf App
Subscribed and
to me this
19 C1G
sf
i tam
Mary Publ ~i
7S tG!' cL~ ~o2~s'
My commission expires ~- G3~18
ived~ ou Receipt No. ~~~ Case No.
_,.•iaP ,