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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.