Laserfiche WebLink
`a'te-'~--e ~ • CIT`r OF LA PORTE • <br />-.• <br />APPLICATION FOR <br />ZOt•IE CHAR?GE REQUEST <br />-----~--------------------..~.-...r..---r..-..--------•~--••--------------~--- <br />Application AIo.: `I - 40 Z <br />OFFICE USE Ot•ILY: Fee:5100.00 ~.~~ Date Received: 1 4 fl <br />Receipt No.: O.6'h Y•Sl~. <br />-(/Site Plan ( ) ?Minor Development Site Plan <br />( ) 1•lajor Development Site Plan ( ) General Plan <br />( ) ~ite Plans ,.Submitted on I ,~y~Yq <br />APPLICANT'S NAME. ;, .~_ TC-/VNIc~ ~CI~ ~-S I ~"IC _ <br />_ __ --- -- <br />Address : ~ 1 [J 1_ JC^/yS lC"(1. ~~~ <br />.;Date: ;~N ~ZJ ~~~ .,, Signature <br />OtJPIER' S NAI`1E:; ~ ~NN~ ~ --/4 C~'~ ~ ~ -~~ ~ ~ , <br />,. <br />Address: _~1~=_~'~ -~~~~~ _ PH: ~~P <br />•. ~ f ,, ,~ ,. ,,. ~:J Et ~, .:: ,, ,, t <br />Legal Description.. of Property ( See Att~ac-hed <br />;,,,I; AM.THE .0~JNER OF THE HEREIN DESCRIBED ° PROPERTY AND .JOI-~1~/ r"~"`~S~O~1~ <br />IS AUTHORIZED TO FILE THIS P ICATION Ott M BEHALF. <br />T_ -• _ <br />'Date . ~-~~L~~ Signature <br />Zone ~ Requested Zone Change ~_ SIC No. <br />Proposed Usage lei ~ ~.e ~ ~ ~,:- d <br />OFFICE USE OPILY <br />1.) Owner(s) of property within 200 ft._ of tract in question: <br /> <br /> <br /> <br />