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<br />CITY OF LA PORTE <br />ZONING BOARD OF ADJUSTMENT <br />VARIANCE REQUEST <br />Application NO.~: (c -00 ( <br />OFFICE USE ONLY: Fee: $150.00 Date Received: \. '2: . 2ODl, <br />Receipt No.: S-O.., ~ <br />Note: This Fee is Non-Refundable Regardless of the Board's Decision <br /> <br />Applicant: pj)u.,~ ,"AS1~<tN ~ (~U'-f t-JOc-.",a <br />Name <br /> <br />Sf, O"t. Sf~Cb(l.. iJ~'1 <br />Address <br /> <br />-z.g, CJ~o-g75o <br />Phone <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 />\).X>cS1 ~-r~oN <br />Name <br /> <br />f~~~ <br />&<<1l. ~cJ:l.. Au,", ~ &ll{b 1 ~17511 <br />Address <br /> <br />'Z~19~o\a~ <br />Phone <br /> <br />I am requesting a variance to Sect. of the City Zoning regulations Chapter 106 of the <br />Code of Ordinance. n <br />I am requesting this variance for property located at ~bJ~ -K'A'ri:) . <br />L ~treet Address 1. , <br />\. ~ 104 A4U:- T ~ rlDN\ tNOCA-t. 'Oa.6&.S4:)IJ ~~\K;I( APhT~ 'N e G <br />./ Legal Description <br /> <br />rl" 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 ho. on to ct on th <br /> <br /> <br />l-Z'l...D5 <br />Date <br />Office Use Onl~ <br />Site Plan and Authorization (if applicable) attached? Y es ~ No () <br /> <br />Date transmitted to the Board of Adjustments: <br /> <br />Meeting Date: '2 ~ Applicant Notified of Date: <br /> <br /> <br />Notice to surrounding property owners- Date: <br /> <br />Board's Decision: <br /> <br />Approved () <br /> <br />Denied () <br /> <br />Notice of Boards Decision mailed to Applicant/Owner: <br />