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<br />CITY OF LA PORTE <br /> <br />" <br /> <br />ZONING BOARD OF ADJUSTMENT <br />SPECIAL EXCEPTION REQUEST <br /> <br />--------------------------------------------A~~l~~~;i~~-N~~~-~~:-bulf~ <br /> <br />OFFI~i:_._U_~~__OJ!~J: f_~~;. _ __,J_5_~ .00 Date Rece i ved: '7f?;-7~7'-- C;~_ <br />Rece i pt No.: .-1J_!_+ _ <br />NOT1: This Fee is Non-Refundable Regardless of the Board's Decision. <br /> <br />-------------------------------------------------------_.__.~-----_..._---- <br /> <br />Applicant: <br /> <br />J11J.KE._.c::J 1)?"J3BLt;..- SQ_[)/1g1L.____________. <br />Na% _ <br />_CZqQlIJihbs..tL- hA f2TE" /EXlfs 1-151 J <br />Address I <br /> <br />PH: 1/.2).:["7/ .93 ifS- <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 />0:J/ -' fl/J.: / /./._1,- ,) /).;.;'1 /Z./ .;' (/'~/)'J/) V <br />~!;'._.!..:~~"- -_.~.~.;.. -'-'-' ~-- -~_._-_. -.-: --::...._._lj_.~---_._-'-~~~:....!.....'. ,--- <br />Name <br />__'ZZf:.:l..__-!.-:-L/;~j,J' /.:C.__._~_,j~.~(:.;:.2______.____._._.__ PH: <br />Address <br /> <br />I am r e que s tin gaS p e cia I Ex c e p t ion to S e ct. /0 - ~ ct__ 0 f the C it Y <br />Zoning Ordinance No. 1501. I am requesting this Special Exception for <br />property located at _._._._._.___.___._________._____. <br /> <br />Owner*: <br /> <br />t./,>/--- 5- 3 (/ j. <br />~._._._._---:- <br /> <br />! 1Jj.~. <br /> <br />,e <br />.]_.1. <br /> <br />Address <br /> <br />. Legal Description <br />_~,I ~ /;~ I._;-;~:._____(~. 3 1~2___!.~;;J:-:.~_-__J22~.._i.~~..J. <br /> <br />Jc-;- <br /> <br />rt 3 _.--!:.:L_=>/';' 7"c'-'- v> ~ <br /> <br />( ) Site Plan ( ) Minor Development Site Plan <br />( ) Major Development Site Plan ( ) General Plan <br /> <br />___'_'_'_'___.__6"_-.' _ _ ..'_._-_ _ _. _ _ _._ - - - - - ------.-....--~-._--._--..-.-.- -.-.---.-.--.-....---.---.--.--.-.. <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~ provide Authorization to act <br />on the Owner's behalf. <br /> <br />c ~ :'-' -, <br />Date <br /> <br />/? .~ ~.J/ ~__(.___. / !....--,. (': :::-_- <br />Applicant's Signature <br /> <br />----------------------------------------------------------------------- <br /> <br />OFFICE USE ONLY <br /> <br />Site Plan and Authorization (if applicable) attached? Yes ( ) <br /> <br />b i ~2jV_.____ <br /> <br />No ( )}//}. <br /> <br />Date transmitted to the Board of Adjustments: <br />Meeting Date: -; ij/_.1J___ Applicant Notified of Date: _":'le;...J.._..____ <br /> <br />Board's Decision: <br /> <br />Approved ( ) <br /> <br />Denied ( ) <br /> <br />Notice of Board Decision mailed to Applicant/Owner: <br />