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<br />CITY OF LA PORTE <br /> <br />ZONING BOARD OF ADJUSTMENT <br />VARIANCE REQUEST <br /> <br />::::::-:::-:::~~----~::~--:~::~::-----------~~~~~~:~~~~:~~~~-;it~-fit-- <br /> <br />R e c e i p t No.: 06 q 0 ;.:.. <br />NOTE: This Fee is Non-Refundable Regardless of the Board's Decision. <br /> <br />:: ::::::: ~ -t -;; - -;,: ~~=i:;- &'~Ii- - ~~~~ -~:;it- M:4; - ~~-;~ -~:::.. t> <br /> <br /> <br />/PO 6L~ 4().-c9'j L.. ~~~ I ~-t(D'D PH: 7/S! gvJ-~fv,l./c..f <br /> <br />l,4pv~ ~ 1)( Address 77(/)(,.7 <br />I am the owner of th~ herein described property. I have authorized <br />to act on my behalf in this matter. <br /> <br />Owner*: <br /> <br />Name <br /> <br />PH: <br /> <br />Address <br /> <br />I am requesting a variance to Sect. of the City Zoning <br />Ordinance No. 1501. I am requesting this variance for property loc~ted <br />at <br /> <br />Street Address <br /> <br />Legal Description <br /> <br />~ Site Plan ( ) Minor Development Site Plan <br />( ) Major Development Site Plan ( ) General Plan <br /> <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 /> <br />* If applicant is NOT the owner, he must provo <br />on the Ownelj' sl behalf. <br />g/~/4Z- <br />Da e <br /> <br /> <br />to act <br /> <br />OFFICE USE ONLY <br /> <br />Site Plan and Authorization (if applicable) attached? Yes~) <br />.g'/~II~J... <br /> <br />. <br /> <br />No ( ) <br /> <br />Date transmitted to the Board of Adjustments: <br />~/27/q1- <br /> <br />r <br /> <br />Meeting Date: <br /> <br />Applicant Notified of Date: <br />1/1/'-1/11-- <br /> <br />I <br /> <br />'-j/L.1' <br /> <br />Notice to surrounding property owners - Date: <br /> <br />Board's Decision: <br /> <br />Approved ( ) <br /> <br />Denied <br /> <br />) <br /> <br />Notice of Board Decision mailed to Applicant/Owner: <br />