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<br />" <br /> <br />CITY OF LA PORTE <br /> <br />ZONING BOARD OF ADJUSTMENT <br />SPECIAL EXCEPTION REQUEST <br /> <br />-------------------------------------------------------------~--_._---- <br /> <br /> <br />OFFIG.LU$~_QN~J: E~~;_ __J.5_Il..OO ~~i~i~:~;~~e~~' : ~lf!i--- <br />R e c e i p t No.: -'----.!-Ci. (). ') <br />NOT&: This Fee is Non-Refundable Regardless of the Board's Decision. <br /> <br />----------------------------------------------------------~~---_._~-._---- <br /> <br />Applicant: <br /> <br />-LlJ.J (( L_.___5TXdYt__._. __ <br />.3!J.Lcj..Q/ltL!2IlI/J7;J -LA! I)~EK M'k7K1ZilJ53?PH: <br />, <br />Address <br /> <br />Lj7.~~ 9f/8 <br />9 LfF- 76 ~/-* <br /> <br />I am the owner of the herein described property. I have authorized <br />-___.______._._.__________...__________ to act on my behalf in this matter. <br /> <br />Owner*: <br /> <br />Name <br /> <br />---~_._--_......_._._._._------_._~----_.__._._._-~._.__. <br /> <br />PH: <br /> <br />Address <br /> <br />I am requesting a Special Exception to Sect. . of the City <br />Zoning Ordinance No. 1501. _ I am r.equesting this Special Exceptiol)., for <br />property located at ~.r;07 t:../l?/l/A.{__. L.dTS ;[- d.. I SIR, /8..'2-.&(-.)/,) CJ,? //J /-ti,k'rr <br />Address Legal Description <br /> <br />( ) Site Plan ( ) Minor Development Site Plan <br />( ) Major Development Site Plan ( ) General Plan <br /> <br />-.-.-.-.-.--..--.-....- - -----'- - - - -.-.- _.- - - -.---.-.-.-.---.-..-----.-.-.-.---. <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 NDT the owner, he m~ provide Authorization to act <br />on the Owner's behalf. , . h- <br /> <br />_2- 9-93 /l;!~~ <br /> <br />Date Applicant's 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 />De n i e d ( ) <br /> <br />Notice of Board Decision mailed to Applicant/Owner: <br />