Laserfiche WebLink
ITY OF LA PORTE . <br />~• <br />• ~ ZONI G BOARD OF ADJUSTMENT <br />• VARIANCE REQUEST <br />~~ ~~ Application No.: ~ ~ d y _ d ~ <br />OFFICE USE ONLY: Fee: $150.00 ~ Date Received: ~ ~~ ~'') <br />. ~ ~ Receipt No.: ~ ~1 G 7rJ <br />Note: This Fee is Non-Refundable Regardless of the Board's Decision. <br />Applicant: ~ ~ ice, ~ c~~;e, h-orris~ ¢.~ _ <br />Name <br />' 1~'i ~,~p Lemon Lc~n <br />.~ L.a0.1"a/''Fe+ •T'~ 775 I ~ 011--$(0]-- `~$~9 <br />Address ~ Phone <br />I am the owner of the herein described property. 1 have authorized <br />to act nn my behalf in this matter. <br />Owner*: <br />'' ~ ~ Name .. . . <br />Address <br />Phone <br />I am ~requcsting a vari:~nce to.Sect. of the City Zoning regulations Chapter 106 of the <br />Code of Ordinance. <br />I am requc?sting this variance for property located at 1'y ~1 l L~emcn ~-~a.n e. <br />. ~ Street Address <br />Lo•f- 15 LKe's ~~i-~~an <br />Legal Description <br />()Site Plan ()Minor Development Site Plan . <br />()Major ])evelopment Site Plan ~ ~ ()General Plan ~ . <br />A Site Plait 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 al;plicant is NOT the owner, he must provide Authorization th ne ' ha . <br />- ~- > ~ • < <br />Date ~ ~ Applican s Signature <br />Office Use Only <br />Site Plain and Authorization (if applicable) attached? Yes () No ( ) <br />Date transmitted to the Board of Adjustments: <br />Meeting Date: <br />Applicant Notified of Date: <br />Notice to surrounding property owners- Date: <br />Board's Decision: Approved () Denied ( ) <br />Notice of Boards Decision mailed to Applicant/Owner: _ <br />