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<br />CITY OF LA PORTE <br /> <br />.... <br /> <br />ZONING BOARD OF ADJUSTMENT <br />SPECIAL EXCEPTION REQUEST <br /> <br />----~-------------------------------------------------------------.----- <br /> <br />Appl ica t ion No.: q ~_.= DOL. <br />OFFI~i:___US~_._OJH~J: f_~~;_ _"_,J.?_~. 00 Date Rece i ved: ()"{ -2.'-1 -qz., <br />R ec e i p t No.: ___.9.s=[j-:".)-e, --"- -" <br />N"OT&: This Fee is Non-Refundable Regardless of the Board's Decision. <br /> <br />----------------------------------------------------------~----_.._------- <br /> <br />Applicant: <br /> <br />~~-.h~-mU/'..l/2yL.-"--.-.--------. <br />9 _J - /" _ ~ N~. <br />_'.6_Q'::(2-LC1/~/J2k:J.L. L v7 <br />Address <br /> <br />PH: (/nlJ.2b-S7./Z <br /> <br />I am~h~J9~ner f t~he herein describ.ed property. I have authorized <br />____.__..jJJtAL/L__ UJ..,7>.___.__.jJto ac~n my behalf in this matter. <br />Owner*: ___-.:.\:_.__ __~~fL~~~_ <br />___~. (\ ~ II J~ '/1 ~me:=):--22.5.-2~-L-":'-" PH: .JLZ.Z.~/ 6/ <br />t-~.Il..V~S1 <br /> <br />I am requesting <br />Zoning Ordinance <br />property located <br /> <br />a Special Exception to Sect. ItJ -50 I of the City <br />No. 15Q.l. I am requesting this Special Except~on f~r. <br />at 1?:a.6 c-aL1J.aktL L Y) SL>>nwiCI, /3(&/ 1J)07 <br />Address Legal Description <br /> <br />(~Site Plan ( ) Minor Development Site Plan <br />( ) Major Development Site Plan ( ) General Plan <br /> <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 making this request. <br /> <br />.. If applicant is NOT the owner, he m!.:!Jll. provide Authorization to act <br />on the Owner's behalf. <br /> <br />___?- ,9-/ - 9 ~ <br />Date <br /> <br />A-~~ <br />Ap lic t Signature <br /> <br />----------------------------------------------------------------------- <br /> <br />OFFICE USE ONLY <br /> <br />Site Plan and Authorization (if applicable) attached? Yes ( ) <br /> <br />No ( ) <br /> <br />Date transmitted to the Board of Adjustments: <br /> <br />Meeting Date: <br /> <br />Applicant Notified of Date: <br /> <br />Board's Decision: <br /> <br />Approved ( ) <br /> <br />Denied ( ) <br /> <br />Notice of Board Decision mailed to Applicant/Owner: <br />