11-07-1989 Meeting - Laserfiche WebLink

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.._.. CJ1'Y OF' LA YORTE ' ~ ZUNING HOARD OF ADJUS~NT SPECIAL EXCEPTION REQUEST• ----------------- Gf/~e.«~of Application No.:f~~19._.-moo OFFICE USE~ONLY.: Fee,,_~~ /~~`%/ Date Received: -!/ l6 ~. _. Receipt No.. - . ----~ NOTE: This Fee is Non-Refundable Regardless of the Board's Decision --------------------------------------------- Applicant: a ~orte-1.~,._l~s~..~(g~--f_S~4oe! .D.:s-tr~~f--------_. Name 3ot_.~c:s~~~ip~,.wt~.~ ~.~.. PH: ~7~-~s/3 Address I am the owner of the herein described property. I have authorized -,y_--_---~--______•__-______.__, to act on my behalf in this matter. Ow n e r ~ . ._.__------•-----._... _.-------~-•-~-~--•------------ Name ___ _ P H : .---~-- -----.__.__._._.~.-. A d d r e s s-~----.- -- - I am requesting a Special Exception to Sect. 5-7~j<~ Zoning Ordinance No. 1501. I am requesting this Special Exception for property located at 3v1 _J34~, D..kr,y~-.__._`__[~9___.Ii1~~:ts_L1? Qf Bik ,.~.• A dress Legal Description (~ Site Plan ( ) Minor Development Site Plan ( ) Major Development Site Plan ( ) General Plan A Site Plan of the property is attached. Also, I have listed the - inforniation requested below on the following pages of this form. a) All facts concerning the matter that has led up to this request. b) The type of relief I am seeking (setbacks, lot coverage, etc.). c) The grounds upon which I'am making this request. - ~ ~ If applicant is NOT the owner, he tnti~t provide Authorization to act on the Own is-behalf. . ~ - ~ --- 1_ .~_~ , A plicant s Signature Date = ~ OFFICE USE ONLY ~ ~ ,( ~~ • Site Plan and Authorization (if applicable) attached? Yes (~) No ( ) Date transmitted to the Board of Adjustments : _.11!4.rL Z~..-------- tdeeting Date: Nd~U_._.__._.__: Applicant Notified of Date: _. iS_.___..__..._ . Board's Decision: .. Approved ((/ ) Denied ( ) • Notice of Board Decision mailed to Applicant/Owner: _.__..........__._.~.____