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.,. <br />• CITY OF LA PORTE <br />ZONING BOARD OF ADJUSTMENT <br />SPECIAL EXCEPTION REQUEST- <br />-------------------------------------------- ------ <br />Application No.9_- 0 -- <br />OFFICE_ USE ONLY: F.9 ;._,__,S5Q.00 Date Received:y , <br />Receipt No.: 0 Ili 4 TO <br />NOTE: This Fee is -Non -Refundable Regardless of the Board's Decision. <br />------------------------------------------------------------------------ <br />Applicant • Southwestern Bell Telephone/R.Wolverton, ' M9r. -Design/Cbnstr .. <br />Name <br />6500 W. Loop S., Zone 55A, Bellaire, TX 77401 PH.(713)561-8507 <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 />Owner*: Southwestern Bell- Telephone _y <br />6500 W. Loop S., We 55A, Bellaire, TX 77401 PH:(713)567-8507 <br />�! Address-------l-_- <br />I am requesting a Special Exception to- Sect.106-191(b) (1 )_ of the City <br />Zoning Ordinance No. 1501. I am requesting this Special Exception for <br />property located at 502 W. Polk St=t- Lots 17-32,Blk 65,, Tarm of TaParte <br />Address Legal Description <br />(X) 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 />a If applicant is NOT -the -owner, he must provide Authorization to act <br />on the Owner's behalf. <br />Date plicant's Signature <br />------------------------------------------ ------------------------ <br />OFFICE USE ONLY <br />Site Plan and Authorization (if applicable) attached? Yes.( ) No ( ) <br />Date transmitted to the Board of'Adjustments: <br />Meeting <br />Date: <br />_ Applicant <br />Notified of Date: <br />Board's <br />Decision: <br />Approved ( ) <br />Denied ( ) <br />Notice of Board Decision mailed to Applicant/Owner: --- <br />