HomeMy WebLinkAboutSUP-98-02The City of
Wheat ADMINISTRATIVE PROCESS APPLICATION
G Rid~re Department of Planning and Development
6 7500 West 29th Ave., Wheat Ridge, CO 80033
Phone (303) 237-6944
Applican ,jA),&0F,WAEA , eCC> Address 14P C1 0() 1 Phone q12'-Z'300
Owner*Z ,Wj=K,r L4a~ i-.8gg,,,/2Address tIg00Wgqi~', v, PhoneYLy-z?p0
Location of request 1 p 4-11 Q60 IV, Liq 7w j fel' ni' eop
Type of action requested (check one or more of the actions listed below
which pertain to your request.)
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/building permit Zone line modification
Minor subdivision Public Improvement Exception
Subdivision Street vacation
Preliminary Miscellaneous plat
8 Final Solid waste landfill/
n See attached procedural guide mineral extraction permit
for specific requirements. ❑ Other
~ n
Detailed Description of request '5UPj-,7tr7~1jULW PM01,1AL-ZO titLL0C J C0N4
List all persons and companies who hold an interest in the described real
property, as owner, mortgagee, lessee, optionee, etc.
NAME ADDRESS PHONE
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 requested action cannot lawfully be accomplished.
Applicants other than owners must submit power- MAor-XIS from the owner
which approved of this acti on his behalf. 7 N /~jSCp/~
Signatur e of Applicant
Subscribed and sworn to nj)e this 1-6- day of ~ 19
o
SEAL ary Public
My Commission Expires January V, 1
My commission expires
Date Received /2- /6 ' Receipt No. Cpo`l SS`f Case No.