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• CST'Y OF LA PORTS • <br />ZOtJING BOARD OF ADJUSTMENT <br />SPECT~L EXCEPTION REQUEST <br />~;pplication ?ic.: _7- 4ll <br />OFFICE_US.E_._ONLY: Fee.;.___?50.00 Date Rece_ved: ~D.-a. 9. <br />- Receipt Pao.: vDOb ~~~- <br />NOTE: This Fee is Non-Refundable Regardless of the Board's Decision. <br />Applicant: ouc-, -,~~.__ ~~____.~,_~-~nE <br />~2._~ ~ ~ - --~ --.-~------------.. <br />Name <br />- ~ ~ + ___. 3 ay ~is2~ ~ 20 ~n I.-~-Po2r~ P H : "1 ! -_ 2. "7'~~0 <br />_ Address <br />I am the owner of the herein described property. I have authorized <br />_._.__~____._,_ to act on my behalf in this matter. <br />Own e r ~ : S~~ ~ .----~------------ -~----------------- <br />Name <br />_ PH: <br />Address <br />I an- requesting a Special Exception to Sect. I I - boy ~U_ B $ of the City <br />Zoning Ordinance No. 1501. I am requesting this Special Exception for <br />' property located at 202 N•1$'~.__LaPa~?-rE___ GoTs -it~_~u~~y onj <br />Address Lega=1 Description <br />i~LoC:k ~q-o ~4NO AUAw~s__~T__ t3a.~rwa~rJ 1$~~-EWo L1L~---------._- _-- <br />{/S 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 mum o 'de Aut ation to act <br />on the Owneris behalf. ~- <br />_l~-.-_Z - ~ ~ -- ---- `~--- ---- <br />Date r plicant's Signature <br />OFFICE USE ONLY <br />Site Plan and Authorization (if applicable) attached? Yes (v~ No ( ) <br />Date tr•ansn~itted to the aa5oard of Adjustments: _-___ ___._.__ <br />Meeting Date: ~~1~3~_/Z__. App' icant Not.. ied o= Date: ------.----.__-.- <br />Board' ~ Decision: -1p~r•oved f 1 <br />rleni~d ) <br />iIOC_Ce C. .Car:] .'eCy~lOn .aa=_er'i .. .. Apu__.. n~. _;vn°_;' • -----..._..__._.~._-- <br />