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:~~~~• ~' RE~Ef <br />u~„~,CE~VED <br />_ VED ® CITY OF LA PORTE <br />:-~-=;~ -; ~ 199U <br />~~N~~ ~ =7 ~Q~Q ZONING BOARD OF ADJUSTMENT <br />. CODE ~ENFORC~IVI~ APPEAL OF ENFORCEMENT OFFICER' S DECISION ~,;;~£ ENFORCEMENT <br />------------------------------------------------------------------ G z - <br />Application PIo.: ~. - Q <br />OFFICE USE ONLY: Date Received: ~ ZS <br />Applicant: <br />S~ ~ <br />P H : T ~ ~u Z--' <br />Address <br />Owner*: <br />nor of the herein described property. I have authorized <br />~'C_ to.act on my behalf in this matter. <br />PH: TII~~zZ- <br />` ~ Nam <br />/v Address <br />I am appealing the decision regarding or the interpertation of <br />Sect. of the City Zoning Ordinance No. 1501. I am making <br />this appeal in regards ~ th property loc ted <br />Street Address Legal Description <br />• +I (i') 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 <br />information requested below 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 />* If applicant is NOT the owner, he must provide Authorization to act <br />on the Owner's behalf. <br />i ~. <br />3 g ~ ~. <br />Da a App is 's Signature <br />----------------------------------------------------------------------- <br />OFFICE USE ONLY <br />Site Plan and Authorization (if applicable) attached? Yes ( ) No ( ) <br />Date transmitted to the Board of Adjustments: <br />PQeeting Date: ~U/~~ Applicant PJotified of Date: <br />Board's Decision: Approved ( ) Denied ( ) <br />- Notice of Board Decision mailed to Applicant/Owner: <br />