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CITY OF LA PORTE <br />ZONING BOA OF ADJUSTMENT <br />ApplicationNo.: _-_- _1. --aoz76c7J <br />OFFICE USIi, ONLY. Fee: $150.00 Date Received: <br />Applicant: GILBERT DIAZ <br />Name <br />802 IVY, DEER PARK, TX 77536 <br />Address <br />181-479-9821 <br />PR - <br />I am the owner of the herein described property. I have authorized <br />7 B -N LLLAAISON to act on my behalf in this matter. <br />Owner: GILBERT DIAZ <br />Name <br />802IVY, DEER PARK TX 77536 <br />Address <br />Pam: 291-479-9821 <br />X am appealing the decision retarding or the interpertation of Sect 106-262 Qf <br />the City Zoning regulations Chapter 106 of the Code of Ordinances. T am mah-Ing this <br />appeal in regards to the property located at: <br />MO W \.Gall STREET, LA PORTE, TX 77371 LOTS 21 - 33: BLOCK 66, TOWN OF LA PORTE <br />Street Address Leal (Description <br />Site Plan () Minor Development Site Pian <br />( ) Major IDeveloptnent Site Plan (} General Plan, <br />A Site Plan of the property is attached. Also, I have [fisted the information requested below <br />on the 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 I am; seeking (setbacks, lot coverage, etc. ). <br />c) The grounds upon which I am maldno this request. <br />x If applicant is NOT the owner, he mast provide Authorization to act on the Owner's <br />behalf. <br />FEBRUARl 14, 2013 <br />Date App caat's igna <br />O�'I+J[CE USE ONLY <br />Site Play and Authorization (if applicable) attached? Yes( No( ) <br />Date transmitted to the Board of Adjustments. <br />Meeting Date: _ Applicant Notified ofDate: <br />Board's ]Decision, Approved () Denied ( ) <br />Notice of Board Decision mailed to Applicant/Owner: <br />