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<br />CITY OF LA PORTE <br /> <br />ZONING BOARD OF ADJUSTMENT <br />VARIANCE REQUEST <br /> <br />----------------------------------------------------------------------- <br /> <br />ADolication ~lo.: '%tj; -00</ <br />Fee: $100.00 D~te Received: 7.-'2...,11'-1 <br />Receipt No.: 2~{'cJ5 I <br />Non-Refundable Regardless of the Board's Decision. <br /> <br />OFFICE USE ONLY: <br /> <br />NOTE: This Fee is <br /> <br />----------------------------------------------------------------------- <br /> <br />I am the <br />/-1 t.t J'it LIZ <br /> <br />tc?A/At-D A/ r !f.;J.1? J) <br />.-"} I' J /' Name J.. {) <br />:)~'J... V/ I?t/- /~?.4- 1 L-~ FdK'F/l- <br />Address <br />owner of the herein described property. I <br />to act on my behalf in <br /> <br />I<OA/At.JJ A... C IJA)?~ <br />l/ Name <br />1~{J.... /R&.,l,..,lA. i.-A- <br />, <br />Address <br /> <br />PH: /f-y 7 }-o9Sj <br />tu- "i7cJ- ,}<<:G 77 <br />have authorized <br />this matter. <br /> <br />Applicant: <br /> <br />Owner*: <br /> <br />fb;q T'1l <br /> <br />PH :H;.Y7/"'~9S7 <br />j,f,. - 4I7d~~ 677 <br /> <br />I am requesting a variance to Sect. of the City Zoning <br />Ordinance No. 1501. I am requesting this variance for property located <br />at 1c!1I).....Vil(~: ,1/f..-o)4r- j 4?rr ~ 7) ;{?" /5tdctr ~J f1J S'AIV t/ACt'-vI'd 1..Jc>~1i:S <br />Street 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 must .provide Au;~thori at;ionto <br />on the 9wn~'sbehalf. ~ /1 <br />~i~e~i~Y ~~ / <br />Date Applicant's Sig ture <br /> <br />act <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 />Meeting Date: <br /> <br />Applicant Notified of Date: <br /> <br />Notice to surrounding property owners - Date: <br /> <br />Board's Decision: <br /> <br />1\.pproved ( ) <br /> <br />Denied ( <br /> <br />Notice of Board Decision mailed to Applicant/Owner: <br />