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m a r~ 3 . <br />•~ CITY OF LA POP~TE •~ <br />'ZONING BOARD OF ADJUSTMEf1T <br />SPECIAL EXCEPTION REQUEST <br />------------------------------------------------------------------------- <br />• ~,~p ~i Application No.: ~- 003 <br />OFFICE USE OfdLY: Fee: 3fitT8:0.0 Date Received: - -~' <br />Receipt No.: <br />NOTE: This Fee is flon-Refundable Regardless of the Board's Decision. <br />------------------------------------------------------------------------- <br />Applicant: Ch~rv~ ~D'dST, ~~nC <br />Name <br />l\~ 2D 1Jo. ~• S-~, L-~l \~ rr~- PH: ~"]O•~r7lO <br />Address <br />~-- <br />am the owner of the herein described property. I have authorized <br />i2-~. ~,.~1~~-~--ac-e_ to act on my behalf in this matter. <br />a:ne (~ <br />C 1~ Z. o ~. ~\- - ~.A i o r~.c.. P H: '~-'1 y- g ~ l U <br />Address <br />I am requesting a Special Exception to Sect. l~- c~o_5.2d. of the City <br />Zoning Ordinance No. 1501. I am requesting this Special Exception for <br />property located at ~l~zo ne.. ~-l. ST ~~rt.ar Z3 9 LA (~orz-t-F D~ r~'°?s <br />Address Legal Description <br />• (--) Site Plan ( ) Minor Development Site Plan <br />( ) Major Development Site Plan ( ) General Plan <br />A Site Plan of the property is attached. Also, I have listed the <br />information requested below on the following pages of this form. <br />a) All facts concerning the muter that has led up to this request. <br />b) The type of relief I am seeping (setbacks, lot coverage, etc.). <br />c) The grounds upon which I am malting this request. <br />~ If applicant is NOT the owner, he must provide Authorization to act <br />on the Owner's behalf. <br />~- ~a-8g <br />Date <br />Applicant's Sig tune <br />OFFICE USE ONLY <br />Site Plan and Authorization (if applicable) attached? Yes ( ) Dlo ( ) <br />Date transmitted to the Board of Adjustments: <br />Meeting Date: ~" ~-~~ Applicant Notified of Date: 2-/w-,~'~ <br />• Board's Decision: Approved ( ) Denied ( ) <br />Notice of Board Decision mailed to Applicant/Owner: <br />