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.I, �Ixl I IIIII .I' l 1) <br />zone Changelist <br />Planning and Development Department <br />Address where zone change is being requested: <br />Legal description where zone change is being requested: <br />HCAD Parcel Number where zone change is being requested: <br />Lot area: <br />Zoning District: <br />A request for approval of a zone change is hereby made to the City of La Forte. i <br />Description of Request: r� d <br />Attached hereto is a Project Description Letter describing the project and outlining the reasons why such SCUP should be approved. <br />Name:—w- <br />Company (if applicable) <br />Address: r � <br />III <br />Name, <br />Company (if applicable): <br />MM <br />4 U"Z <br />INFORMATION <br />State: Zip: <br />AUTHMIZED AGENT (If other than oWn,er) <br />Address: <br />State: Zip: <br />City: <br />Phone: Email: <br />WER(S) & AGENT CERTIFICATION <br />I hereby depose and state a pr the penalties of perjury that all statements, proposals and/or plans submitted with/or contained in <br />this application are tru an (rrect anA the appOcatio is complete to the best of my knowledge and belief. <br />Date: <br />Agent's Signature: �? <br />55 S Date ! . <br />Owner(s)' Signature(s)' s a <br />STAFF USE ONLY. <br />Number:Case <br />f% 1, 115 <br />Date Application Received: <br />