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Do not use for International Mail /See reverse) Sent 'JB 144th Street & Number 8151 W. 44th Ave Post Office, State, & ZIP Code W.R., CO 80033 Postage $ Certified Fee Special Delivery Fee Z 355 657 661 US Postal Service Receipt for Certified Mail No Insurance Coverage Provided. Do not use fnr Intamatinnal Mail LQea rovaroe) Sent to Verina DeOrio Street & Number 4457 Balsam St Past Cities, State, & ZIP Code W.R. CO 80033 Postage $ Certified Fee Special DelNery Fee Z 355 657 662 US Postal Service Receipt for Certified Mail No Insurance Coverage Provided. Do not use for Intemational Mail LQca ra,mmnl Sent to Alfred Buerkle Street & Number 4380 Brentwood St Post Ogice, State, & ZIP Code W.R., CO 80033 Postage $ Certified Fee Special Delivery Fee Restricted Delivery Fee Return Receipt Showing to Whom & Date Delivered Rehm Receipt Showing to Whom, Date, & Addressee's Address TOTAL Postage & Fees $ Postmark or Date v v `o Q O C7 E `o LL N a Is y E R AD RE completed on the reverse side? m ~n w °f~ym vogm to U1 21 D st 33Z O XtG a mom 3. 5n,momm~ m m m 4 m iicmoEm'mm w m 9 a tb a 3 aFdmm?? n rD In H n n UP i w - n 8m m3°W 1 rt N aH..m jay p a rt m 4a.. g,m_ e r QL O4- a 3 m Z oo 4- f=m c m d to rt o m o 3 x mn n m c 3 m' 0 ci 95 v m m A m m3 $ m m p H o n' Is your RETURN ADDRESS completed on the reverse side? a F~> m p '.'D m,.m m~+~oo Io 1_51 m ? `m am c~av0 m ''moms -m ~ w ~ a m aem' m~= m - m W \i p F fD pD, a3. 03 5333.. 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Do not use for International Mail (See reverse) Senito Irvin Roach Street & Number 4411 Balsam St Post Office, State, & ZIP Code W.R., CO 80033 Postage $ Certified Fee Special Delivery Fee Restricted Delivery Fee Return Receipt Showing to Whom & Date Delivered Retum Receipt Showing to Whom, Date, & Addressee's Address TOTAL Postage & Fees I s Postmark or Date P Is your R ETURN A DDRESS completed on the reverse side? w . CO) . D *mda?3Z a mmm,a~°~p P U Sim' =;=_mmm ' . 3c ' (D ~ K n Q m to m 3 a Po rn (D . S. ~y mwm C, 0 `Jy K m l 0 'o F - (D a 0 oa a 23 aSo ii m rt N E m e 2 'mm n N Fy o mQa ; O f a m' ° $ O a, N 3 m a O o 3 i In N ~ < m m - rt (D Is your RETURN ADDRESS completed on the reverse side? `o M M w .0` . • • • (A N T co X c D &L9*2 ~M.aZ a O m K a m77m ~a~4 t.7 3 e o c m ~~m~=mmm W. . ~ m ~ w r W y 3g mc~:~9 a ~ rT Cd a 93 J m L td ao a gxmm G L N O m m ~ ~ m m o w w to _a m . m gmo 3 m Z a. 0 o e jit m C"1 rt o' s 0., m . , n O g _ o= 3 m A ' ❑ m m . 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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 In S m w N 9 O 03 (n O w ill W rr L p p w J Z Z 1-i O U Z W O m 0 0 W 0 W p a~ o> v a of w W (Up ZF- u - U D Q n (U W O T U N a u x" ~I. u 0 0 z N ❑ a o v. ov x°a M rA H ~a cn >4 74 a ro F~ w~4 ~w A W W Aa A y a F w O Q w Q E a N }-i G (a ro a ri m G N O a >4 O ri O U a 4J N V d' H as h ~ " M tl v C o° CAiU 9 r M o rn 0 U ~ ie H `o a a C v H -'1 % i ° lr F M 9 ro 8 $4 0 a yo v L4 00 K ~ A U -rl a - H O OvU.g G w ~4 U ° ~ w $ ° ° H ro m O ° m t3l rc, rn U C 7 ~ o M ' yr o O o ° a m 09 o U > C 0 a o v 3: vLL1 c . 4 Ei U O? n O O ~ P. ~ v ' N m 3 c° = ` y LP O' ) v m ~ G b 9 ° a H J-1 v a v C~ :v O N H i ~ o N ~ N LO01 sr'i ~U a z U v0N ElH w O ,G W o' M a 2 v.}J p °O V S4 9) eT. ~ O O N O 0 v N 44 U o y . .r.F v v D In"a y o- G h a N o V1, y r-, h 24 o o y v o° 3 r Kc O 3 ° `o m 3 a N J-) T W v~ u o ° FI 4-4 44 y y ~ N ~ u. a yN~ n ~ fC ° CY W Ln a A ` b F bb r y ~ O ° C m O W 4 0 a .r{ (d 44 N O U1 O O w m r-i 1f) - a L4 34 zo 9) 34 +J x4, M }5 P4 -ri U W 1-) N N 4-) bl K ,n w •r4 ri9UN 4-) O r-1 U O -1-,4 U a4 m=4 M m O O W O U ai >s }4 4-3 ro N aJ G v L 41 a~ d' 3 H LC) H W m a a m y N g vvo X Yry2~v@e a 9 ~?S' -P .9 K O w o9po~ ° N 9 9~~d° y x =°a~yi9i4 1-1 ~4 =~~~~9 N 04 .9e`3S2:y o ~59-u5a O °~.3 $va Oq=u,S T•~ ~ 5PUoy9 a a ° 9g~~'~~X 304 2 s" Ea't'-° ~ ~ (6 age $a~ O o d o) h.SA o.J= 3-1 9;s E'-d 44 e ~d un 3333 O ~9ynF`o N u4 ase, +F ~x O9 yJ' ro r4 33~q~$ a a.3E E 08 U1 ~y m=in a~339==;~g JJ C-) U r. 8g~.~ao N~ q.9S~L'~ Sri =fir ~~t z°aai 9 eN 9 ? a~.'° ca 333 ~a ; 3E yQ soq.go 9 3 `e ~~~xg ray m ~ a $ x. ° ox ~ @ ' ?~~'aa a £ n U e a 39 =aa ~.y a a 9 v^a ya3 ~a ° ~ ea.9~9e~5i 9 `-d _ = a o~ v xa3n ° x u3 xGA~ -3?9 `oy s 9u m35°.a °o yg . ~yv 3 s de-.. ax 6 Gi m- G g? 3>3? e~ 9'- AO r9 O. to TV ~ 3~ yA vte 3 E a~3x a Ax q ri xA~° N au9 a x y5 "s5.3a ~u Y9 9 yam. ~ Co ~9 G4 - v3 - -9d a° ~~oe w 4 ~ C yyn Y x u ao x°? c° e- e xc as ~oum~ `o d'g_r ~o3oay a' E ~.s y 10`9~~uY gx`oua H N N ii d 0 b W0 O rl 0 U a A a 43 -rj WA al H c v Ci H 43 hm a w ro G N >1 O ~4 v ~ a ~4 a o 9) 0 W O U w ro 0 T +1 C H h L ` E O ` G ~ o w SJ ro D a N 3 ~ 3 S4 o N G u N m 3 N 44 44 G p, O w h ~ Z O o Ej ~ a W ' . Ax y U Sr i J' L F ~ a pa i- Etl py ~s u s s L c v c ~ K a o r' u E U 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~