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<br />~15/2005 07:45 <br /> <br />2815482452 <br /> <br />BAYWAY HOMES <br /> <br />PpiGE 01/03 <br /> <br />CITY OF LA PORTE <br />ZOl'ill\fG BOARD OF ADJUSTl\1rENT <br />SPl&:CL.\L EXCEPTION REQUJ~ST <br />--: Application No.:- ~ Cc ..)Jijff <br />OFFICE USE ONLY, Fee: $t~.!!.OO ~~~'~:r:" <br /> <br />Note: This Fee is Non-Refundable Regardless of the Board'jil Ded!iliOl1 <br /> <br />w <br /> <br />or- <br /> <br />---====:::-:::=======:!:l:CIIID <br /> <br />6 Clll WClO !~'~h> 1Y\ e ~ I I \r) l . <br />~Nam~ <br />-f 6 \3 0---( ,2. \{ '-( <br />C - . Address ,""'I ~\J Ct <br />r r.. e.t'\o.. s ~,,)CX)q,) 1'1< I 1;)1 I <br />I am the owner ofthe hereilTl described property. I have authorized <br />to a~t (lh I1n: behalfio thi$ mattet'. <br />~~.' UOV\ S\(e..~~ <br />p ~~"(&et\-\: Name ~ <br />~-l: <br /> <br />Applicant: <br /> <br />PH:28\- bY,-"8~~~__~~G~S~ K { \ <br />~( \f:.~~:._.._~I~ e IS <br /> <br />~.(L..___ <br /> <br />-:~:ddress <br /> <br />I am requesting a Special Exception to Sect. of the ~/Zoning regulations Cl~lIlpter 106 <br />of the Code of Ordinance. rl\ r s:.(-n tJ <br />I am requesting this Special Exceptp.f.m for property located at J) _~:=,_.:___",,:::' .}:!.!~, <br /> <br />Lo-\- l __1~)\{)c..\( \y ~~ddr~.oJ"J_ \'~-- eJol. <br /> <br />Legal Description <br /> <br />~ Si1~ Plan <br />( ) Major Development Site Plan <br /> <br />---~...... <br /> <br />"'-lmIIIWllIIUJ.UUlll;lill'~'Il'IIJ~~~::.:= <br />( ) Minor Development Sil,c PI:ln <br />( ) GenerA) Plan <br /> <br />--1- _ _....~ .-.....---.------.ZII:lIIJ:II. <br />A Site Plan of the propert)-" i! lltbched. AI5Q. I have listed the informatio.n reque'Sb~d bd.;;.;'~~~l:i;-'-.. <br />following pages of this form. <br />a) All fads concerning ttUl Inatter that ha.ll led up to th is rl\!qul~5t. <br />b) The typt' of relierI ani :g~!eldng (setback-'!, lal, coverage, etc.). <br />c) The grounds upon 'Which I am making this request. <br />· If appll....' fa qOT~ O:n... II:. must provide Authorization t. a~:7"L~~_____ <br /> <br /> <br />.3jJ Date __ /epIte,.'" Si~n..u... ~ <br />Office Lise Only <br /> <br />Site Plan and Authorization (if applJcable) atta(:bed? Yes () No () <br /> <br />Date tra.nsmitted to the Board IlfAdju$tments: <br /> <br />M~~ting D~t~: <br /> <br />____ Applicant Notified orDate: <br /> <br />Board's Deci"ion: <br /> <br />Approved ( ) <br /> <br />Denied () <br /> <br />Notic.~e of Boards O(,cI$ion m<lile.d to AlPplicflnt/Owner: <br />