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<br />~•, • CITY OF LA PORTS • <br />• ZO~JING BOARD OF ADJUST~•9ENT <br />SPECIAL EXCEPTION REQUEST <br />• ----------------------------~rG-~i --~ ~ ~---APPlication P1o.. _ - -~ <br />OFFICE USE O,dLY: Fee: ~~•90 ,~,.1 Date Received• -~~ <br />Receipt No.: Cis-08~Y <br />NOTE: This Fee is flon-Refundable Regardless of the Board's Decision. <br />-------------------------~---------------------------------------------- <br />Applicant: 1~'afF r//.sro~i~rf~~~ <br />Name <br />~O~o~ 9r/ ~.~ ~iRT~ ~ 9zs'1/ PH : ~l/Fb2~ <br />Address <br />I am the owner of the herein described property. I have authorized <br />- to act on my behall/f in this matter. <br />~Owner~ : - --oLL~-~~~ .~ ~ ~ ~. ~~1~ <br />Name <br />Address <br />PH : ~ll~o,7-h~O <br />I am requesting a Special Exception to Sect. .~/-GQf1.~b.S! of the City <br />Zoning Ordinance 1`!0. 1501.~~~~ I am reques/ting this Special Exception for <br />property located at ,~2? /YD.~~.t~ RTy .COTJ /7-.~2 ,~~oal~ G1 TwJv off' <br />// ~ Address Legal Description <br />~6 ~ /O/1 T~ <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 matter that has led up to this request. <br />b) The type of relief I am seeking (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 />--~ <br />Date <br />Applican ' ignature <br />OFFICE USE ONLY <br />Site Plan and Authorization (if applicable) <br />Date transmitted to the Board <br />Meeting Date: <br />attached? Yes (~~ ) AIo ( ) <br />of Adjustments . ~ l /s~~ <br />,:~ <br />Applicant Notified of Date: <br />• Board's Decision: Approved ( ) Denied ( ) <br />Notice of Board Decision mailed to Applicant/Owner: <br />