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<br />,ITY OF LA PORTE <br />ZONING BOARD OF ADJUSTMENT <br />V ARlANCE 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 />tJS- -oo~ <br />6-"<)- oS <br />IltJS-1L/ <br />f <br /> <br />Applicant: <br /> <br />Pi L DE.QL, blC\, E..,l2-D ~T <br />Name <br />'l'lO'l.. T\N\eE..R.LocH pLA(.~l ~0i"'i:. '100 <br />II-\E v../60f)\..A t->o" i ..,.r:.~A?17 ~ 80 <br />Address <br /> <br />2.61- 61O~'- 11006 <br />Phone <br /> <br />I am the owner of the herein (Iescribed property. I have authorized Kl LHf\iZ.i) O(-.jZ.llJ <br />to act on my behalf in this matter. <br /> <br />Owner*: <br /> <br />A I.- Df.\?.:, Gi (il1" ~ " (Z.O'J T <br />Name <br />1..1.0'2- tIM~t:.RL\:)(,H p'-Ac..€, ~\.n-rtlJ.cc <br />\M~ WOOOL~~OS, \~~A~ 77~8o <br />Address <br /> <br />-2.81- 3b3-'2..~(J6 <br />Phone <br /> <br />I am requesting a variance to Sect. \00- 333 <br />Code of Ordinance. <br />I am requesting this variance for property located at <br /> <br />of the City Zoning regulations Chapter 106 of the <br /> <br />I \ II I?:>A'-( ~1~OR.f DR. <br />Street Address <br /> <br />Legal Description <br /> <br />W Site PIa n <br />( ) Major Development Site Plan <br /> <br />( ) Minor Development Site Plan <br />09 General Plan <br /> <br />A Site Plan of the property is attachecl. 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 r am making this request. <br />* If al:plitant is NOT the owner, he must provide Authorization to act on the Owner's behalf. <br /> <br />CZc/~r: ~~ <br /> <br />0-1..'2.# oS <br />Date <br /> <br />Applicant's Signature <br /> <br />Office Use Only <br />Site Phn 2nd Authorization (if applicable) attached? Yes () No () <br /> <br />Date transmitted to the Board of Adjustments: <br /> <br />Meeting Date: <br /> <br />Applicant Notified of Date: <br /> <br />Notice to surrounding property owner"s- Date: <br /> <br />Board's Decision: <br /> <br />Approved ( ) <br /> <br />Denied ( ) <br /> <br />Notice of Hoards Decision mailed to Applicant/Owner: <br />