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HomeMy WebLinkAboutMS-99-05aF wnearP LAND USE CASE PROCESSING APPLICATION of wNEnra o Planning and Development Department 7500 West 29th Avenue, Wheat Ridge, CO 80033 °otoRPO~ Phone(303)235-2846 cotoR o0 (Please print or type all information) 5 3 C n 1 r ~ - ' ' - nn e la.p W. Applicant e-c Address n l k PJ > 2 Phone 9 19-Y515 City L-,..} t' l e-4nr\ Owner ~~ictAddress Q 1 Phone C y Location of request (address) y`I `I ' a~ ~ C Type of action requested (check one or more of the actions liste d below which pertain to your request.) Pq Change of zone or zone conditions ❑ Variance / Waiver ❑ Site development plan approval ❑ Nonconforming use change ❑ Special Use Permit ❑ Flood plain special exception ❑ Conditional Use Permit ❑ Interpretation of Code ❑ Temporary Use, Buildings, Signs ❑ Lot line Adjustment © Minor Subdivision (5 lots or less) Planned Building Group ❑ Subdivision (More than 5 lots) Street Vacation ❑ Preliminary ❑ Final ❑ Other: Detailed description of the request: LZe, - r S-SZ Cls-~(4.~ a ~g f- Fill out the following information to the best of your knowledge. Current Zoning: C N- Size of Lot (acres or square footage,: 1.3 Ad 2S Current use: NJ C c o^ d_ Proposed use: o M,, ~ Lnk 1- S; 151 Assessors Parcel Number: 104*-4~ 1 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 requested action cannot lawfully be accomplished. Applicants other than owners must submit power-of-attorney from the owner which approved of this action on his behalf. Signature of Applicant f KE~.ti ~sA~ en if4 Subscribed sworn tome this S da of 19 Nota Public My commission expires Za "d3-off . . Date received H-1 Receipt No. Case No. -0 Related Case No.IM5-TI -Or Zoning G-! i t2' ~Jt Quarter Section Map QbD a WL