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<br />~ <br /> <br />CITY OF LA PORTE <br />APPLICATION FOR <br />SPECIAL CONDITIONAL USE PERMIT <br />Application No.: SGiIl--O b- IX) I <br />OFFICE USE ONLY: Fee: $300.00 DateReceived:~'2.bZ)~ <br />Receipt No.: _%5Sd: <br />Note: This Fee is Non-Refundable Regardless ofthe CommissionlCC's Decision. <br /> <br />Certified Plans Submitted: <br />( ) General Plan <br />( ) Minor Development Site Plan <br /> <br />() <br />() <br /> <br />Major Development Site Plan <br />Preliminary Plat <br /> <br />kRRAI1ElJICA. LTD. / Hft7ecus 11. A-~(j/lJO/ /vi. D. <br />, I <br />Name <br />L/o~ BAy CO{..{),J y DR. Lit PaRlE 1)( PH: 7/3 - ~ L./t'- ~3S 'I <br />I ) <br />Address 7157/ <br />1i-RRAMED/CA. L7D. <br /> <br />f <br /> <br /> <br />Legal Description: 1i/tCr513 of /R1tCl s:T (O.;).l),>/tE Pr 7R ~ B)IJ.P lI~el. <br /> <br />Applicant: <br /> <br />Business Name: <br /> <br />Zone: <br /> <br />pub <br />/)OC7tJIC~ <br /> <br />SIC# <br /> <br />~Oll <br /> <br />Type of Business: <br /> <br />OFFICE <br /> <br />~'7 ti ;J~ ~ <br />Owner Authorized Agent <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 grounds upon which I am making this request. <br />* If applicant is NOT the owner, he must provide Autho~on to act on the Owner's behalf. <br /> <br />1~/q -~k ~~ ~ L1~ <br />Date . Applicant's Signature <br />Office Use Only <br /> <br />. Date ofP&Z Public Hearing:."2- It ~I-z..oo f.p <br /> <br />Recommendation: <br /> <br />YorN <br /> <br />City Council Meeting Date: <br /> <br />Approved: <br /> <br />YorN <br /> <br />This application is: Approved () <br /> <br />Denied ( ) <br /> <br />Permit No. <br /> <br />CLP Job# (if assigned): <br /> <br />Conditions: <br /> <br />