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<br />-:.J.-.:.. \-;- <br /> <br />CITY OF LA PORTE <br />ZONING BOARD OF ADJUSTMENT <br />V ARlANCE 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 />{04 - 0 0 :z. <br />:5,-;<'0. /)'7 <br />C; '-17 03. <br /> <br />Applicant: <br /> <br />L\ ~ ~ W ~\ \L€-\ <br />Name <br /> <br />\D<gI'6 N. t\'.JQ.., L <br />Ad dress <br /> <br />LIi~D~~ Tx <br />11611 <br /> <br />1(3 -;J. &9 - qg s / <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 />Name <br /> <br />Address <br /> <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 <br /> <br />Street Address <br /> <br />\ l) 8> I:) t\:;.~".t L <br /> <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 of relief! am seeking (setbacks, lot coverage, etc.). <br />c) The grounds upon which I am making this request. <br />* If appli<:ant is NOT the owner, he must provide Authorization to act on the Owner's behalf. <br /> <br />SI~o/oq. ~~-' L<_rlOn~A. <br /> <br />Date Applicant's Signature <br />Office Use Only <br />Site Phn and Authorization (if applicable) attached? Yes () No () <br /> <br />Date transmitted to the Board of Adjustments: <br /> <br />Meeting Date: <br /> <br />j~ ~S,'L~07 <br />I <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 Hoards Decision mailed to Applicant/Owner: <br />