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<br />OFFICE USE ONLY: Fee: $150.00 <br /> <br /> <br />CITY OF LA PORTE <br />ZONING BOARD OF ADJUSTMENT <br />SPECIAL EXCEPTION REQUEST <br /> <br />Note: <br /> <br />Applicant: <br /> <br />::J)ft;.j 7ofEios)Lij fbr 'FPG :J:nclu5frf'rs rAIL. <br />Name' <br /> <br />10/0/ {Jlle- fI i j{)ufh I~fh 6Tfl~€T <br />Address <br /> <br />PH: JB i -1'-/7 (- 51 L{7 (X.f ~'/ )" <br /> <br />I am the owner of the herein described property. <br />to act on my behalf in this matte~ <br /> <br />Owner": ~ <br />- Name <br /> <br />I have authorized J fJ,..{ 'r;;fJ~~{)5 k (1 <br />. I <br /> <br />PI 0, B"" Cf'~ <br />Address <br /> <br />L.. f", Ie.. T~ <br /> <br />PH: ~ ~I - '17/ -0 '/YJ <br /> <br />I am requesting a Special Exception to Sect. of the City Zoning regulations Chapter 106 <br />of the Code of Ordinance. . ,t f .-- <br />I am req uesting this Special Exception for property located at / to I Iv t:5 fJ j I <br />''2). 1, LI , 0 j 81 /" ..-r Street Address <br />U utt:... 00(/1- t? IOWitl PF /..fJ-P(!(l...rc <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 t a <br /> <br />02-07- 61 <br />Date <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 />