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<br />CITY OF LA PORTE <br />ZONING BOARD OF ADJUSTMENT <br />SPECIAL EXCEPTION REQUEST <br />Application No.: <br />OFFICE USE ONLY: Fee: $150.00 Date Received: ;2 1r~e <br />Receipt No.: C:;'d.'" I <br />Note: This Fee is Non-Refundable Regardless ofthe Board's Decision <br /> <br />./ <br /> <br />IftCEl/ltD <br />072. <br />PIA IIr'. VOg <br />. '1'/ VlllIe <br />D[Pl: <br /> <br /> <br />Applicant: <br /> <br />fj D.J\ 'U e.. Pu [(aLA <br /> <br />Name <br /> <br />I\~\~ N.P,~ LaPDrt -w-r107{ PH: zgl~411-4~'g() <br /> <br />Address <br /> <br />I am the owner of the herein described property. I have authorized <br />to act on my behalf in this matter. <br /> <br />Owner*: <br /> <br />Name <br /> <br />PH: <br /> <br />Address <br /> <br />I am requesting a Special Exception to Sect. lq \ ofthe City Zoning regulations Chapter 106 <br />of the Code of Ordinance. , 1"2 ^ \ /) (Ll <br />I am requesting this Special Exception for property located at V I ~ IV. r. ~\ . <br /> <br />JJLS 3U r1 31J ~ ~ 3U ~ lCLPD~itw~s <br /> <br />Legal Description <br /> <br />( ) Site Plan <br />( ) Major Development 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) All facts concerning the matter that has led up to this request. <br />b) The type ofreliefI 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 behalf. <br /> <br />.z1. ku/J? <br />ate <br /> <br /> <br />Office Use Only <br /> <br />Site Plan and 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 />Board's Decision: <br /> <br />Approved ( ) <br /> <br />Denied ( ) <br /> <br />Notice of Boards Decision mailed to Applicant/Owner: <br />