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AtCITY OF LA FORTE <br />ING BOARD OF ADJUSTMX <br />APPEAL OF ENFORCEMENT OFFICER'S DECISION <br />Application No.: 710, = ©Q <br />OFFICE USE ONLY: Fee: $150.00 Date Received: 1._/ Z — Q.j <br />/00. R.. W. jr�',112 <br />oap .X-mc <br />op <br />Applicant: ! N <br />Name <br />Address <br />I am the owner of the herein described property. I have authorized <br />to act on my behalf in this matter. <br />Owner*: <br />Name <br />Address <br />PH: <br />I am appealing the decision regarding or the interpertation of Sect. - of <br />the City Zoning regulations Chapter 106 of the Code of Ordinances. I am making this <br />appeal in ards to th property 1 ca� ed at: r <br />Street Address Legal Description <br />( ) Site Plan ( ) Minor Development Site Plan <br />( ) Major Development Site Plan ( ) General Plan <br />A Site Plan of the property is attached Also, I have listed the informatiox <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 making this request. <br />requested below <br />* If applicant is NOT the owner, he most provideAuthorization to act on the Owner's <br />behalf. <br />l— //- AOasr <br />Date Applicant's Signature <br />OFFICE USE ONLY <br />Site Plan and Authorization (if applicable) attached? Yes () No( ) <br />Date transmitted to the Board of Adjustments: <br />Meeting Date: Applicant Notified of Date: <br />Board's Decision: Approved ( ) Denied ( ) <br />Notice of Board Decision mailed to Applicant/Owner: <br />