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City of La Porte <br />604 W. Fairmont Pkwy. <br />La Porte, TX 77571 <br />Planning & Development Department <br />SPEC[ AL CONDITIONAL USE <br />PERMIT APPLICATION <br />Phone: 281.470.5073 <br />Fax: 281.470.5005 <br />vrww,Iaportetx.gov <br />1. PROPERTY OWNER CONTACT INFORMATION: <br />OWNER NAME: Terry Medders <br />PHONE 1: 281-930-1872 <br />PHONE 2: 281-898-0429 <br />FAX #: 281-478-5180 <br />E-MAIL: twmedders@sbcglobal.net <br />MAILING ADDRESS: 311 S. 16th Laporte Tx 77571 <br />2. BUSINESS INFORMATION: <br />BUSINESS NAME: N/A <br />BUSINESS TYPE: NIA <br />CONTACT NAME: Terry Medders PHONE#: 281-898-0429 <br />E-MAIL: twmedders@sbcglobal.net <br />FAX #.281-478-5180 <br />MAILING ADDRESS: 311 S 16th Laporte Tx <br />3- PROPERTY DESCRIPTION: <br />PARCEL NO(s) (13-digit HCAD Tex ID <br />PROPERTY ADDRESS (if existing): 401 S. 16th <br />PROPERTY LEGAL DESCRIPTION. <br />4. SUPPORTING DOCUMENTATION (Check Applicable): <br />XGENERAL PLAN SITE PLAN <br />PLAT <br />REASON FOR REQUEST?: Parking Area <br />OWNER or AUTHORIZED AGENT'S SIGNATURE: <br />PRINTED NAME: Terry Medders <br />DATE: 11-20-2014 <br />S. APPLICATION CHECKLIST & SUPPORTING DOCUMENTATION: <br />COMPLETE ITEMS 1 THRU 4 OF APPLICATION <br />ATTACH APPLICABLE PLAN(S) <br />SUBMIT$300.00 NON-REFUNDAB LE APPLICATION FEE <br />(51AFF USE ONLY): <br />+ <br />DATERECOVED: ,1 RECEIVED BY: <br />g <br />DA O <br />PROJECT NUMBER., - <br />SCHEDULED DATE FOR PLANNING & ZONING COMMISSION AGENDA: <br />