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• CITY OF LA PORTE <br />ZONING BOARD OF ADJUSTMENT <br />SPECIAL EXCEPTION REQUEST- <br />---------------------------------------=------------------------------- <br />Application No.: <br />OFFICE USE ONLY: e_e;-_-__$50'.00 Date Received: _ 2 <br />�-�+�' � Receipt No.: �'Qo�G% <br />NOTE: This Fee is Non -Refundable Regardless of the Board's Decision. <br />----------------------------------------------------------------------- <br />Applicant : Southwestern Bell Telephone/R. WQlv�M,% Mar-resign/cbnst. <br />Name <br />6500 W. Loop S., Zone 55A, Bellaire, TX 77401 PH: (713) 567-8507 <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*: Southwestern Bell Telephone <br />Name <br />6500 W.- UQW S. , Zone 554-Be l a; re.. TX 77401- P H : (713) 567-8507 <br />Address ' <br />I am requesting a Special Exception to Sect. 106-191(b) (1) " of the City <br />Zoning Ordinance No. 1501. I am requesting this Special.Exception for <br />property located at 502 W. Polk Street Lots 17-32, Blk 65, Town of LaPorte <br />Address Legal Description <br />(X) 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 =ust provide Authorization to act <br />on the Owner's behalf. / <br />—a-4id f✓ <br />Date A & mature <br />----------------------=-----------------=------------------------------ <br />OFFICE USE ONLY <br />Site Plan and Authorization (if applicable) attached? Yes (61 No ( ) <br />Date transmitted to the Board of Adjustments: q 9 <br />Meeting Date: '2 a✓�l L_�_ Applicant Notified of Date: <br />Board's Decision: Approved ( ) Denied ( ) <br />Notice of Board Decision mailed to Applicant/Owner: <br />