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<br />Application No.: _ `I ~ - D03 <br />OFFICE USE ONL.v~ ~: $100.Op Date Received: I o - l q - 9 q <br />Receipt No.: (D `vr ~ a <br />• <br />City of La Porte <br />e5~u~~d is9z <br />APPLICATION FOR <br />ZONE CHANGE REQUEST <br />()Site Plan () l~nor Development Site Plan <br />()Major Development Site Plan ()General Plan <br />OSite Plans Submitted on <br />Appliant's Name: <br />Address• <br />~~X~3 ~ <br />Date: i o -- I ~~ ~ <br /> <br />Owner's Name• S ~ nn ~ <br />Address: _ `~f'~'m Ph: 5:~~ <br />Property Legal Description: l--£5 [ I ~ ~ 1~) k r~ ()See Attached <br />Sp~C-c.R ~ C~ i ~ C-5 <br />I AM THE OWNER OF THE I~~REIlV DESCRIBED PROPERTY AND <br />~Z~1~ ~. ~I CIC6 k S IS AUTHORI7Rn TO FILE THIS APPLICATION ON BEHALF. <br />Date• ~ n - r~ - ~1 ~ Signature• `'r(_A~,VI I.1 u 1 <br />Zone: l~ 2~_ Requested Zone Change: C~ ~M ~M ~ SIC No: <br />Proposed Usage:. ©~ ~C ~ ~/~ C, p 6 , <br />OFFICE USE ONLY <br />1) Planning & Zoning: (a) Preliminary Meeting - , <br />(b) Public Hearing/Mtg. - <br />Recommendation <br />Applicant Notified of Date(s): () 1st bitg. <br />Adjoining Property Owners Notified: <br />2) City Council: (a) <br />ro) <br />Approved ( ) <br />Denied ( ) <br />Regular Meeting - <br />Public Hearing/bitg. - <br />Adopted by Amendment Ord. <br />Signature: ~-~_~,~ `~, . ~1 ,~_..~ <br />#1501 - <br />I'tl Il..., l t i; . 1 .. I+..... T....... --;-i t t t.- r~r f~ ~-~ a.~~n <br />( ) 2nd Mtg. <br />