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<br />CITY OF LA PORTE <br />ZONJNG BOARD OF ADJUSTMENT <br />VARIANCE REQUEST <br /> <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 />#- /106- 00;( <br />3 - ;'7- 0-6 <br />]6 Oc2 S" <br /> <br />Applicant: <br /> <br />R DbEr& ~ K JeidJ1 g R/ii <br /> <br />Name <br /> <br />73IJ 5 C/9Jf/ZLJ// <br /> <br />Address <br /> <br />cJ?;- ?9~-/~/~ <br /> <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*: R.o bf"d'}L /(/li6-tA E (0" tt <br /> <br />Name <br /> <br />Address <br /> <br />Phone <br /> <br />I am requesting a variance to Sect. of the City Zoning regulations Chapter 106 of the <br />Code of Ordinance. , / <br />I am requesting this variance for property located at 7 d ~ ;{ 1'0 "-~ C /; /&e.tJ II <br />J ~ Dj L D r Street A.ddress } /J _J <br />A.O~--S Ljd) lJ~ 'l5V'Ito 1:) 1<\. d~ JOAYlf!.t)).)-l:.. "to J...A ro~ <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 ofthe property is attached. Also, I have listed the information requested below on the <br />following pages ofthis 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 /> <br />· Ifapplkant ~ ~~;h;h;~: mu~ proTIde Ao~~~S beh~f. <br /> <br />( Dati Applicant's ignature <br />Office Use Only <br />Site Plan and Authorization (if applicable) attached? Yes 0 No 0 <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 owners- Date: <br /> <br />Board's Decision: <br /> <br />Approved () <br /> <br />Denied ( ) <br /> <br />Notice of Boards Decision mailed to Applicant/Owner: <br />