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<br />CITY OF LA PORTE <br />ZONING BOARD OF ADJUSTMENT <br />SPECIAL EXCEPTION REQUEST <br />Application No.: 'S t.i 01 - 004 <br />OFFICE USE ONLY: Fee: $150.00 Date Received: < \00e ~ ~CU l' <br />Receipt No.: q q s \ " <br />Note: This Fee is Non-Refundable Regardless of the Board's Decision <br /> <br />Applicant: <br /> <br />W yto-t.,f CO\t$>hlJehiM, <br />Name <br />\/0 ~ lD54 <br />Address <br /> <br />PH: 2<6' j- 33'1 - Y Y"7 Z- <br /> <br />I am the owner of the herein described property. I have authorized lIJ'tIcoFF (ctl\ls.1l2.-Vc..11~ (T€,(2.f.i LEe'!) <br />to act on my behalf in this matter. <br /> <br />Owner* : <br /> <br />~^~'j <br /> <br />1.-;-;~~ <br />Name <br /> <br />~ <br /> <br />P t....f'+e.r ~..,-, e. t~ ,,~ Prtlp Itr f-t-c..s <br /> <br />7. 7. 7 ~. '6 -It... 5-/-/ <br />. <br />Address <br /> <br />it/( f.rk -& 77S11 PH: <br />~ <br /> <br />-z..~/- f'Yt.. - '~I <br /> <br />I am requesting a Special Exception to Sect. of the City Zoning regulations Chapter 106 <br />of the Code of Ordinance. .vh <br />I am requesting this Special Exception for property located at 30 I Nd(2..J~ 8' <br />Stn:eJ Address [") <br />[0 f- /7 - ;1./ 7 (p TZw\'\. dilL{ ~t\.- k Va I vAlL ~3 y~ -3 Ltr- <br />Legal Descriptio~ (' ~ I I ,.. I 3 <br />~u r I \Ji1O&~~cr- S- <br /> <br /> <br />Minor Development Site Plan <br />( ) General Plan <br /> <br />( ) Site Plan <br />( ) Major Development Site Plan <br /> <br />A Site Plan ofthe 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 ofreliefl 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 !!!!!!! provide Authorization to act on <br /> <br />Office Use Only <br /> <br /> <br />l, ~ ).- ()7 <br />Date <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 /> <br />"'1':.'_'-_; " <br /> <br />JUN 0 1 2007 <br />