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9AV H1bbM 1969
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Z 355 657 660
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Sent 'JB 144th
Street & Number
8151 W. 44th Ave
Post Office, State, & ZIP Code
W.R., CO 80033
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Z 355 657 661
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Sent to
Verina DeOrio
Street & Number
4457 Balsam St
Past Cities, State, & ZIP Code
W.R. CO 80033
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Z 355 657 662
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Sent to
Alfred Buerkle
Street & Number
4380 Brentwood St
Post Ogice, State, & ZIP Code
W.R., CO 80033
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Sent to
Marlene J, Wheeler
Street & Number
4416 Brentwood St
Post Office, State, & ZIP Code
Wheat Ride CO 80033
Postage
$
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Senito
Irvin Roach
Street & Number
4411 Balsam St
Post Office, State, & ZIP Code
W.R., CO 80033
Postage
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The City of
GW~phe at ADMINISTRATIVE PROCESS APPLICATION
-1\id Department of Planning and Development
ga 7500 West 29th Ave., Wheat Ridge, CO 80033
Phone (303) 237-6944
Applicant SokmSoA- Address w. zt vL Phone 2 yfy(
Owner Address
PO. yy~'J"e Phone /~T3 Z33p
Location of request
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
e Preliminary Miscellaneous plat
Final Solid waste landfill/
❑ See attached procedural guide mineral extraction permit
for specific requirements. ❑ Other
Detailed ~j Description of request acj~~C- a-c- A
List all persons and companies who hold an interest in the described real
property, as owner, mortgagee, lessee, optionee, etc.
NAME ADDRESS PHONE
~•STo~nSoti Srsi ~N yy iJ~r~a ~t~ .js yr3z3~n
v
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
Subscribed and sworn to me this t-t-\day of 19
SEAL Notaty Public
My commission expires
Date Received -q~ Receipt No. f a&,J Case No
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CITY OF WHEAT RIDGE
PLANNING AND DEVELOPMENT DEPARTMENT
INVOICE
NAME ~(~~\1CS DATE:
CASENO.
FEE TYPE
FEE
CHARGE
ACCOUNT
NUMBER
Application Submittal
See Fee Schedule
C7-boo
01-550-01-551
Publications/Notices
See Fee Schedule
~o0
01-550-02-551
24" x 36" Blue Line
$ 3.25
01-550-04-551
24" x 36" Mylar Copy
$ 6.00
01-550-04-551
Single Zoning Map
$ 2.00
01-550-04-551
Set of Zoning Maps
$20.00
01-550-04-551
11" x 17" Color Map
$ 2.00
01-550-04-551
Comp. Plan Maps
$ 2.00
01-550-04-551
Comp. Plan Book w/Map
$10.00
01-550-04-551
Fruitdale Valley Master Plan
$ 2.50
01-550-04-551
Subdivision Regulations
$ 4.50
01-550-04-551
Zoning Ordinance
$15.00 (does not
include annual updates)
01-550-04-551 _ "
Copies
$.15/page
01-550-04-551,
Copy of Meeting Tapes
$25.00/tape
01-550-04-551
Miscellaneous:
01-550-04-551 ° -
TOTAL COST:
, l~