05-22-2003 Regular Meeting and Public Hearing of the La Porte Zoning Board of Adjustment

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• ~ CIT'Y OF' LA PORTE • ZONING F1OARD OF ADJUSTFIENT SPECIAL EXCEPTION REQUEST Sf Application t~~o.:~~ <~-_ ~?r'~ OFFICE US.E_ ONLY : Fee; _ _ _ S5G . UG Date Received : _•_ C (~--,? ~o_ c' 3 Receipt No.. _.__._._.__.~1~.- .NOTE: This Fee is Non-Refundable Regardless of the Board's Decision. Applicant. ~~li.£?¢ _~.,G2:M~~+~'y~?~~r'i~~ ~34'~~.~^:'+a_;rs;,'~~:~~~ •~~.i { Name ~~- _ P 1 11~~~._~ ~ _....~wSa~. i~~`_L'i•+,• ~~•_t~'~,at _ ~~-~i' °•.."3 * : . ~. ~~ P H :~:er'SI~.~ _~ .P }~z.7 .r!'o wig `\ A d d r'e s s 4" I am the owner of the herein described property. I have authorized ,._"~~y.~:4 _,t..li.y_ ,~~_._•_._.,_,_•__._._~_:____, to act on my behalf in this matter. Owner*~: G~~~~_. o~• ~!~.~a..+C•=.~.~-:_._. __._._._.__-•-•--•-•----•---- . . ~ Name Address I ani requesting a Special Exception to Sect~~~~~~~~- of the City Zoning Ordinance No. 1501. I am requesting this Special~Exception for property l o c a t e d a t e ~~~? ~mrd,.~~ ~:.3~..~•~...~~ ~".p~__D_~ ~~p_~~ . Address Legal Description ( •~'l S`ite Plan ( ) .Minor Development Site Plan ( ) Major Development Site Plan (_) General Plan A Site Plan of the property is attached. Also, I have.listed~the information requested below on the following pages of this form. a) All facts concerning the matter that has led up to this request. b) The type of relief I am seeking. (setbacks, lot coverage, etc.). c) The grounds upon which I am rt-aking this request. ~ If applicant is NOT the owner, on the Owner's behalf. v.~-~. 3~ '~o~~ Date he mint provide Authorization to_act Apr licant's Signature OFFICE USE ONLY Site Plan and Authorization (if applicable) attached? Yes ( ) No ( ) Date ~ tr•ansniitted to the Board of Ad justments~: ~~____._-._.____._._.__ Meeting Date: ._._._ ....___._.__ Applicant Notified of Date: __.__.._._ ._.. _ Board's Decision: ~ Approved ( ) Denied ( ) Notice of Board Decision mailed to Applicant/Owner: _._____.......__._,._:____