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ZO*CITY OF LA PORTE <br />G BOARD OF ADNSTME# <br />SPECIAL EXCEPTION REQUEST <br />Application No.: �-,S E - 03 - d a 7 <br />OFFICE USE ONLY: Fee: $1 41A Date Received: l — 1 7 — 6 3 <br />Receipt No.: /y1,/ CL <br />Note: This Fee is Non -Refundable Regardless of the Board's Decision <br />Applicant: Francisco & Mariana Rea <br />Name. <br />9121 E. Avenue L Houston, Tx PH:#713-926-3642 <br />Address 77012-2725 . <br />I am the owner of the herein described property. I have authorized <br />to act on my behalf in this matter. <br />Owner*: Same . <br />Name <br />PH: <br />Address. <br />I am requesting a Special Exception to Sect. 10 6 -191 of the City Zoning regulations Chapter 106 <br />of the Code of Ordinance. <br />I am requesting this Special Exception for property located at 238 So. Iiolmes Street <br />Street Address <br />(Block 72; Lots 21,22; Bayfront Addn.) <br />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 information requested below on the <br />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 on the Owner's behalf. <br />(W -J l - Do <br />Date <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: 02 I Al < a � Applicant Notified of Dates <br />Board's Decision: Approved () Denied ( ) <br />Notice of Boards Decision mailed to Applicant/Owner: <br />