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<br />CITY OF LA PORTE <br /> <br />ZONING BOARD OF ADJUSTMENT <br />SPECIAL EXCEPTION REQUEST <br /> <br />------------------------------------------------------------------.----- <br /> <br />OFFI~j:___~~.f;___OJ!r".J : <br /> <br />f_~ f;.; __ _ _,_$_5_~ ~ 0 0 <br /> <br />Application No.: 5{{~i~ ~~'7 <br />Da te Rece i ved : _LI.--:t/l./i.'L-- <br />Receipt No.: __?L2L1-Y_-_ <br />Regardless of the Board's Decision. <br /> <br />NOTI: This Fee is Non-Refundable <br /> <br />- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - _. - _. -~ _. -.... ... _.. -~ ... - - - -- <br /> <br />Applicant: <br /> <br />~-(""I.~ {z:...__C.e~.Z~'::t..c:_w._____________. <br />Name <br />~<;?L ~.:__J~~___2r--,--.---LA-Pc.~r~~~nc:... '77 h.2L <br />Address <br /> <br />PH: 4:"1.L=-}!_ 2... 2--- <br /> <br />I am the owner of the 11erein described property. I have authorized <br />_~l::-1t\1-.J__T_._G:.~&_~_______. to act on my behalf in this matter. <br /> <br />Owner*: <br /> <br />.1Vi.\.:.~L~.Q: ~._.)3I..d..>~._L _.__.___.________________ <br />Name <br />___l..cjSJi...e~-.'.J.,~~M~--V.j~~B_\..!~--..&\.t=--- <br />Address 4'1CC17 <br /> <br />PH: (PI IF b'l1...i-?_ -{ J.-' <br /> <br />I am requesting a Special Exception to Sect. '-boO U1.~ of the City <br />Zoning Ordinance No. 1501. I am requesting this Special Exception for <br />property located at 6l<;?__L~~f=2:c.._Jd1:?..r~~ 1'~_LZ5:z.L. <br />Address Legal Description <br /> <br />(v) 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 NOT the owner, he <br />on the Owner's behalf. <br /> <br />-L;J.-A.2.J.~- <br />Da'te <br /> <br />m~ provide Authorization to act <br /> <br />~~#Y- ._u_ <br /> <br />_/ Applicant's Signature <br /> <br />------------------------.----------------------------------------------- <br /> <br />OFFICE USE ONLY <br />Site Plan and Authorization (if applicable) attached? Ye~ ~ No ( ) <br />Date transmi tted to J the, Bo~rd of Adjustments: d'h~/ ry_____ <br />lieeting Date: P-/~1/j':l Applican t Notified of Da te: -i.{,i--.-nu <br />Board's Decision: Approved ( ) Denied ( ) <br /> <br />Notice of Board Decision mailed to Applicant/Owner: <br />