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HomeMy WebLinkAboutWV-97-1The City of GWhe at ADMINISTRATIVE PROCESS APPLICATION Rid Department of Planning and Development ga 7500 West 29th Ave., Wheat Ridge, CO 80033 Phone (303) 237-6944 Applicant City of Wheat Ridge Address 7500 West 29th Ave. Phone 235-2848 Owner same Location of request Phone to 3294 Pierson & 3295 Parfet Type of action requested (check one or more of the actions listed below which pertain to your request.) ❑ Change of zone or zone conditions Site development plan approval Special use permit Conditional use permit Temporary use/building permit Minor subdivision Subdivision H Preliminary Final ❑ See attached procedural guide for specific requirements. ® Variance/Waiver Nonconforming use change ❑ Flood plain special exception Interpretation of code Zone line modification Public Improvement Exception X Street vacation Miscellaneous plat Solid waste landfill/ mineral extraction permit El Other Detailed Description of request IS ri, -of-wa 20' in width adjacet to ( north o£) 3294 Pierson and 3295 Parfet S eet 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-of-attorney from the owner which approved of this action on his behalf. Signature of Applicant fy Subscribed and sworn to me this day fi2 19 SEAL ary My commission expires /0---2-5-- 9,7 ✓¢l "Cl. VVu xeceipt No. Address Case No.