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<br />CITY OF LD.. PORT~ <br /> <br />ZONING BOARD OF ADJUSTM~NT <br />VARIANCE REQUEST <br /> <br />--------------------------------------------A~~l~~~~~~~-~~~~~2-=6tl~-- <br /> <br />OFF ICE USE 0 N L Y : Fee: $1 00 . 00 D ate R e c e i v e d : 1 /}o ,112- <br />Receipt No.: tJI.j'CJ'1 <br />NOTE: This Fee is Non-Refundable Regardless of the Board's Decision. <br /> <br />----------------------------------------------------------------------- <br /> <br />I am the <br /> <br />LA UAE" L /#.vi~T^/E"-S, Z/Vc:- <br />" <br />Name <br />7-...5' L) S <!' f..) TI-/ /6 /r';/.s 7/.: pC-;- <br />Address <br />owner of the herein described property. I have authorized <br />to act on my behalf in this matter. <br /> <br />-7kC'~K lV/LL/?..s:, i1GC r9?E.~/L:>E:;yr ~F&:: <br />/ <br />.L. *" pCJ;Q T.,L: <br /> <br />PH: <br /> <br />L/7/- / ? 3/ <br /> <br />Applicant: <br /> <br />Owner*: <br /> <br />Name <br />f? ([) )?C~z::: /-S. /'6 <br />Address <br /> <br />PH: <br /> <br />l77/-/7J/ <br /> <br />I am requesting a variance to Sect. <br />Or d ion a n c e No. 1501. <br />at' :S't) S c) /.,;'_. . <br />Street Address <br />PLA-,y <br /> <br /> <br />of the City Zoning <br />for property 10 ated <br />cd' _~ <br />Description <br /> <br />()o 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 <br />on the Owner's behalf. <br />7- 2<1'-- 1'2- <br />Date <br /> <br /> <br />./ <br />Applicant's Signat, <br /> <br />----------------------------------------------------------------------- <br /> <br />OFFICE USE ONLY <br /> <br />Site Plan and Authorization (if applicable) attached? Yes (~) No ( ) <br /> <br />Date transmitted to the Board of Adjustments: <br /> <br />)j /z.I/q 2- <br /> <br />Meeting Date: <br /> <br />~ / -z, ? /17--- <br />( " <br /> <br />Applicant Notified of Date: <br /> <br />rlft/erJ- <br /> <br />Ye~ <br /> <br />Notice to surrounding property owners - Date: <br /> <br />Board's Decision: <br /> <br />Approved ( ) <br /> <br />Denied ( ) <br /> <br />Notice of Board Decision mailed to Applicant/Owner: <br />