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ZOACITY OF LA PORTS <br />G BOARD OF ADNSTME <br />VARIANCE REQUEST <br />Application No.: &�� f U3 O d �Z <br />OFFICE USE ONLY: Fee: $1100 <br />Date Received: /o 6 _ 03 <br />Receipt No.: /i%ltf i fet gqy/ram e <br />Note: This Fee is Non -Refundable Regardless of the Board's Decision <br />Applicant: James W. Liles, Sr. <br />Name Cell #832-419-8031 <br />402 So. 5th Street — La Porte, Tx #281-471-8818 <br />Address 77571--5054 Phone <br />. I am the owner of the herein described property. I have authorized <br />to act on my behalf in this matter. <br />Owner*: <br />Same <br />Name <br />Address <br />Phone <br />I am requesting a variance to Sect. 106-192 of the City Zoning regulations Chapter 106 of the <br />Code of Ordinance. <br />I am requesting this variance for property located at 402 South 5th Street <br />Street Address <br />(Block 7; Lots 31,32 & N. 8' of Lot 30; La Porte) <br />Legal Description <br />(4site 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 information requested below on the. <br />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 on theretherr behalf. <br />(),o@,AA aA I.J <br />Date Applicant's Signature <br />Office Use Only <br />Site Plain and Authorization (if applicable) attached? Yes o (). <br />Date transmitted to the Board of <br />Adjustments:' <br />Meeting Date: ` %! U� Applicant Notified of Date: <br />Notice to surrounding property owners- Date: // —oZ 1 — d3 <br />Board's Decision: Approved () Denied () <br />Notice of Boards Decision.mailed to Applicant/Owner: <br />