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HomeMy WebLinkAboutMS-92-1nmCift r G Wheat ADMINISTRATIVE PROCESS APPLICATION Dep--rtment of Planning and Development ldge 7500 West 29th Ave., Wheat Ridge, CO 8OU33 Phone (3U3) 237-6944 Knight Address3370 Simms Owner Roger Knight Address 3,70 Simms ?'honE 234-026(' L,ocaticn =eouest 117 Susie Type of action requested (check one or more of the actijns 1iste3 belo which pertain to your request.N Change of zone or zone conditions Site development plan approval Special use permit Conditional use permit Temporary use/building permit Yinor subdivision Subdivision Preliminary Final ❑ moo attached procedural oui3e for specific requirements. Variance/Waiver Nonconforming use change Flood plain special exception Interpretation of code Zone line modification Public Improvement Exception Street vacation N.-scellaneous plat Soiid waste landfill-, mineral extra^tion permit ❑ Ot he= Detailed Description of request Jivide Tract "3" into 2 lots, move E-W li s ou t" List all persons anc companies who hold an interest in the described real property, as owner, nortgagee, lessee optionee, etc. NAME ADDRESS ?HONE 759-141 =base 4annatten. DicK Lloyd 200'S. Colo. Slvd, a8000. Denver. 80222 72 I certify that tht~ information and exhibits herewith submitted are true and correct tc the best of my Knowledge and that :n filing his application, I am acting with the knowledge and consent of those persons listed above, without xhose consent the requested action cannot 1r,wfull• be accomplished. Applicants other than owners must submi` power-of-a-torney from the owner xhicn approved of -_his ac -ftn on iris beh,#lf, Sign sture cf Applicant Subscribed and sworn tc me this.1a,~day of 19 qD' SEAL Notary Pu _ bli c My commission expires ~ Des w 1 . - - --r %-One No.