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<br />-=-'--* <br /> <br />CITY OF LA PORTE <br />APPLICATION FOR <br />SPECIAL CONDITIONAL USE PERMIT <br />Application No.: ~eu - oct -DO.? <br />OFFICE USE ONLY: Fee: $300.00 Date Received: 7J'~~"'()9 <br />Receipt No.: J J..'I"71- ~ <br />Note: This Fee is Non-Refundable Regardless ofthe Commission/CC's Decision. <br /> <br />Certified Plans Submitted: <br />( ) General Plan <br />( ) Minor Development Site Plan <br /> <br />o <br />o <br /> <br />Major Development Site Plan <br />Preliminary Plat <br /> <br />Applicant: <br /> <br />. 1 <br />'." f"\ i\ ! ,. <br />, i I-J ,'V~ <br /> <br />VI-)",\ 6ScL, <br />Name <br /> <br />g 0:3 l\t1c C oL).b c- (2... ~ <br />Address <br /> <br />PH: ? '3 { t? b~ IS 0(;; <br /> <br />Business Name: <br /> <br />~{J b\V\ e <br /> <br />~ . <br />I- .f <br />'-- \/\. (; - <br /> <br />L.{~ \:? I S e (V: c e-5, <br /> <br />Legal Description: <br /> <br />Zone: <br /> <br />SIC# <br /> <br />Type of Business: <br /> <br />CD n.5 L.-l Ii iL)..." c. U <br />~ <br /> <br />...~.. 9J. -. . /1Pc....---f-( ~ 0 V'\ <br />....., I <br />. / if <br />.... ./ <br />~ <br />;' /~"", <br /> <br />Own~F. - dthorized Agent <br />\./ / <br /> <br />A Site Plan ofthe 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. /J <br />* If applicant is NOT t~e owne:, he must provide Authorization to.~IJ.the Owner's behalf. <br /> <br />8->-09 /~ <br />Date 'T~Applicant's Signature <br />Office Use OnIV' / <br />J <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 />