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<br />; <br /> <br />? <br /> <br />ICITY OF LA PORTE . <br />ZON G BOARD OF ADJUSTMEN'P' <br />VARIANCE REQUEST <br />Application No.: <br />OFFICE USE ONLY: Fee: $150.00 Date Received: , <br />_ Receipt No.: <br />Note: This Fee is Non-Refundable Regardless of the Board's Decision <br /> <br />o ~ - Od:3 <br />l(-g -Dlf <br />'7 ~f{b{) <br /> <br />Applicant: <br /> <br />/J1t:7tJ lA~e C~/sn~ &L"t:IJJSP1'~ <br /> <br />. Name ' <br /> <br />2)()11J/J"Db~W()OD 21/-47)-2((;77 <br />.-' Address Phone <br /> <br />I am the owner of the herein descri'bed property. I have authorized 'JAa:,1?A1h hHJolsoJ <br />to act on 'my'behalf in this matter. ... <br /> <br />(J~-x;,ey L J.Iof.;~f <br /> <br />. Name' . <br /> <br />L3B83~OOO} L-P' <br /> <br />A,ddress ' <br /> <br />Owner.: . <br /> <br />28/- tfil- 2G7 77 <br />Phone <br /> <br />I am requesting a variance to Sect. of the (:ity Zoning regulations Chapter 106 of the <br />Code of Ordinance. d' /?, <br />. I am requesting this ~ariance for property located at 2104 WOi:::-~d on I LA-- ~I!. rt <br />. '.' " Street Address' , <br /> <br />Legal Description <br /> <br />() Site Plan <br />( ) Major l>evclopment Site Plan <br /> <br />, ( ) Minor Development Site Plan <br />( ) General.Plan <br /> <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) AU facts concerning the matter that has led up to this request. <br />b) The type of relie.f I am seeking (setbacks, lot coverag~~ etc.). <br />c) The grounds upon which I am making this request. <br />· If applicant is NOT the owner, he must provide Authorization behalf. <br /> <br />1-g~01 <br /> <br />Date <br /> <br /> <br />Office Use Only <br />Site Phn and Authoriz~tion (if applic~ble) 'attached? Yes () No () <br /> <br />Date tra.nsmitted to the Board of Adjustme~ts: . <br /> <br />Meeting Date: <br /> <br />Applicant Notified of Date: <br /> <br />, . <br />Notice to:surrounding property owners~ Date: <br /> <br />Board's Decision:' Approved ( ) <br /> <br />Denied ( ) <br /> <br />Notice ofUoards Decision mailed to Applicant/Owner: <br />