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CITY OF LA PORTE <br />ZONING BOARD OF ADJUSTMENT <br />2 8d —S5YY- 4� 7 <br />99- SeA btie:��-C-c <br />Address Phone <br />I am the owner of the herein described property. I have authorized <br />to act on Pq behalf in this matter. <br />Ownej <br />�Ta me <br />Address Phone <br />I am requesting a variance to Sect. /0 of the City Zoning regulations Chapter 106 of the <br />Code of Ordinance. <br />I am requesting this variance for property located at <br />20 Street Address <br />Lj �,,- T <br />Legal Description <br />(,)Site Plan Minor Development Site Plan <br />()-Major Development Site Plan General Plan <br />office Use Only <br />Site Plwi and Authorization (if applicable) attached? Yes () No <br />Date transmitted to the Board of Adjustments: <br />Meetirg Date: <br />Applicant Notified of Date: <br />N t sul - r ounding property owners- Date: <br />Board's Decision: Approved () Denied () <br />Notice of Boards Derision mailed to Applicant/OwriLlr: - <br />