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<br />CITY 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 />V tJG-c1tJ3 <br />tI-llL-~~ <br />/bf1t:Jd. <br /> <br />Applicant: <br /> <br />w/I-/....ll1rv' (! I BIJ/}E!10Y <br />Name <br /> <br />/ID:) )3JHev 1115719; jJ6Lfi-P/1/V<', T)L <br />Address 7 ?S3c;;;, <br /> <br />(2"8'1 )~ 79,- 7/99 <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*: <br /> <br />t:.J I /../-I/:f Ir] C. /31-J/)EIfO X <br />Na"me <br /> <br />jt.o3 lull~J..O(.v VIEw; J.~f};1<'rc. TX 7757/ <br />Address <br /> <br />~81- L/ 7 ? - 7/ '1 9 <br />Phone <br /> <br />I am requesting a variance to Sect. of the City Zoning regulations Chapter 106 ofthe <br />Code of Ordinance. <br />I am requesting this variance for property located at / G: 6.1 6a...J i I-I...e>w ill Eo...; t..A1:::t:'5;R.Tc, ']X. <br />Street Address <br /> <br />Legal Description <br /> <br />HSite 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 of relief! am seeking (setbacks, lot coverage, etc.). <br />c) The grounds upon which I am making this request. <br />* If ar'plkant is NOT the owner, he must provide Authorization to act on the Owner's behalf. <br /> <br />Applicant's Signature <br /> <br />Date <br /> <br />Office Use Only <br />Site Pl:m Rnd 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 owners- Date: <br /> <br />Board's Decision: <br /> <br />Approved ( ) <br /> <br />Denied ( ) <br /> <br />Notice of Boards Decision mailed to Applicant/Owner: <br />