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CITY OF LA PORTE <br />ZONING BOARD OF ADJUSTMENT <br />- APPEAL OF ENFORCEMENT OFFICERS DECISION <br />------------------------------------------------------------ ---------- <br />Application No.: -~ <br />OFFICE USE ONLY: Date Received: Z.G <br />Applicant: <br />I am the <br />Owner*: <br />~ Name <br />Address <br />owner of the herein described property. <br />to act on my behalf <br />~; ~ <br />Name <br />~al~ yd;aso.~ ~. <br />Address <br />PH : CJ~o-9`/ ~ <br />C-P~. '1ah- 5~ a~ <br />I have authorized <br />in this matter. <br />PH: zl~n-~'b/~ <br />I am appealing the decision regarding <br />Sect ._. of the City- Zoning <br />this appeal in re~p ards to the property <br />a t /~/ 7 Of~8~6,J~~a _~~. <br />or the interpertation of <br />Ordinance No. 1501. I am making <br />located <br />treet Address Legal Description <br />( ) Site Plan ( ) Minor Development Site Plan <br />( ) Major Development Site Plan ( ) General Plan <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 />~ If applicant is NOT the owner, he must provide Authorization to act <br />on the Owner's behalf. <br />. ~~_ <br />Date Applic is Signature <br />OFFICE USE ONLY <br />Site Plan and Authorization (if applicable) attache ? Yes No ( ) <br />Date transmitted to the Board of Adjustments: <br />P~;eeting Date: ~ ~ .._,-Applicant ;lotified of .Date: •~- <br />-Board's Decision:. Approved •.,~( ) Denied ( ) _. ... <br />Notice of Board Decision mailed to Applicant/Owner: <br />