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<br />CITY OF LA PORTE <br />APPLICATION FOR <br />SPECIAL CONDITIONAL USE PERMIT <br />Application No.: Scu 07- (JO / <br />OFFICE USE ONLY: Fee: $300.00 Date Received: /;) - 8- - // t <br />Receipt No.: ~ 6J;L 0 <br />Note: This Fee is Non-Refundable Regardless of the Commission/CC's Decision. <br /> <br />Certified Plans Submitted: <br />( ) General Plan <br />( ) Minor Development Site Plan <br /> <br />() <br />o <br /> <br />Major Development Site Plan <br />Preliminary Plat <br /> <br />Applicant: <br /> <br />a1l4Y1 d ~en'( ~4V7~(;Y\ <br />Name <br /> <br />1) Db b No r--+1r- .Av -e h u....Q... fO. _ <br />~Cl Po f~+-< ,J;ddress '1 '1 rVJ 1 ( J.-.~vn.J"d-) <br /> <br />PH: Z g I - l{? I ' J ( 7 ( <br />(Cell) (~I!) l(~.... 6 '1f, <br /> <br />Business Name: <br /> <br />-- <br /> <br />Zone: <br /> <br />IrK 391 fj <br />~fUt vg-- ~ t2u i ~- cJ <br /> <br />)...6.. p(),..+-.~ <br /> <br />Ou+\e.A- <br /> <br />Legal Description: <br /> <br />SIC# <br /> <br />Type of Business: <br /> <br />L~ <br /> <br />A Site Plan of the property is attached. Also, I have listed the information requested below on the <br />following pages of this form. <br />a) All facts concerning the matter that has led up to this request. <br />b) The grounds upon which I am making this request. <br />* If applicant is NOT the owner, he must provide Authorization to act on the Owner's behalf. <br /> <br />Date <br /> <br />Applicant's Signature <br /> <br />Office Use Only <br /> <br />Date ofP&Z Public Hearing: <br /> <br />Recommendation: <br /> <br />YorN <br /> <br />City Council Meeting Date: <br /> <br />Approved: <br /> <br />YorN <br /> <br />This application is: Approved ( ) <br /> <br />Denied ( ) <br /> <br />Permit No. <br /> <br />CLP Job# (if assigned): <br /> <br />Conditions: <br /> <br />=xHIBrr.~~ <br />