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7134717168 <br />APR-12-96 FRI 13;•40 . ~ FAX N0. 71.17168 P. 02 <br />' CITY OF LA PORTE <br />ZONING AOARD OF ADJUSTMENT <br />SPECIAL EXCEPTION REQUEST <br />_______-__~---_--_----____-------_~----- ----- y6 _ o r~ / <br />- ~ Application No.. __._ <br />ONCE USE_, ONLY : ~e~; _ _: $50.00 Date Received.: ^,y- ,~ ~~~. <br />Receipt No.: __~~_ <br />OT This Fee is Non-Refundable Regardless^of the^Boardys-Decisa.on^_- <br />Applicant: ~~~__.___._ - -~-- <br />__\\ ~Name}~ ~~1 l _ Ca Co~~ <br />Address ~' <br />j~n~,the owner of the herein described property. <br />~-;,~ ~-4~~.~,--_____.._._____..- ._ to~ act on my behalf <br />` 0.•r~ <br />Owner ~.______ ._.__ _ _..-~-•_ - -- I have authorized <br />in this matter. <br /> <br />~..,~-- <br /> l~ ~ n~ lea m el ;,,~, ~ P H : ~~, - ~-4-7~- 2-- <br />Address; #6_So~J ~3~ .~. ~(,_SOO~Table ~ci <br />I am requesting a Special Exception to Sect. ^~._ of the CiL•y <br />•'Zoning.Ordinance No. 1501. I am requesting this Special Exception for <br />property located at •! ~ ~.~ `~'= ~ `9th-_--_--.~ ~"'''~? ~ ~ Z ~31~~a2- "~1'1 <br />Address Legal Description <br />r._..___--. ______.__-- ___ - --•~--. -- - --____-_ _______ __. ..._.___ __._ <br />( ) Site Plan ( ) Minor Development Site Plan <br />( ) Mayor 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) A1~1 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 X a.m making this request. <br />e If applicant is NOT the owner, he mum provide Aut ori~ation to act <br />on the Owner's behalf. ~ ;~ <br />~~ ~ <br />Da a App c 's Signature <br />OFFICE~USE ONLY <br />Site Plan and Authorization (if apiplicable) attached? Yes ( ) No C ) <br />Date transmitted to the Board of Aid justments : __~~.-r---~-- <br />Meeting Date: Applicant Notified of Date: _____________ <br />Board's Decision: Approved ( ) Denied ( ) <br />Notice of Soard Decision mailed to Applicant/Owner: ___.___.____~__ ._- <br />