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„ , • ,~~r ~ CITY OF LA PORT <br />i ' <br />'' ~ ~ ZONING BOARD OF ADJUSTh1EfIT <br />SPECIAL EXCEPTION REQUEST <br />Application No.: - ~~~ <br />• OFFICE USE OPdLY: -Fee. $50.00 Date Received: 09--2,x-88 <br />Receipt No.: o~oly 7c~ <br />NOTE: This Fee is Non-Refundable Regardless of the Board's Decision. <br />----------------------------------------------------------------------- <br />Applicant: • AT ~ PnT.Y ~R_T_~M_ SF,RV T f!F, R~ STiPPZy r,•~ T~ <br />!Jame <br />~1,~ w r~ A Ill T.A ~nR mE mx P H : -4-7-1-=~~ QT <br />Address <br />I am the owner of the herein described property. I have authorized <br />POTY DRi1i~i SERV.Z('F to act on my behalf in this matter. <br />Owner: <br />IJame <br />Gus Brieden 829 S. 2nd. ST La. Porte, TX PH: 471-3440 <br />Address <br />I am requesting a Special Exception to Sect. _ of the City <br />Zoning Ordinance lJo. 1501. I am requesting this Special Exception for <br />property located at <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) -A11 .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 making this request. <br />* If applicant is NOT the owner, he.~st provide Authorization to act <br />on the Owner's behalf. <br />/ U ( ~~ <br />-~ C _ "~ - <br />- `- Date Applicant's ignature <br />OFFICE USE ONLY <br />Site Plan and Authorization (if applicable) attached? Yes ( ) No ( ) <br />Date transmitted to the Board of Adjustments: <br />Meeting Date: <br />Applicant Notified of Date: <br />• Board's Decision: Approved ( ) <br />Denied ( ) <br /> <br />Notice of Board Decision mailed to Applicant/Owner: <br />