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<br />~ <br /> <br />a CITY OF LA PORTE . <br />ZONMG BOARD OF ADJUSTMEN" <br />V ARlANCE REQUEST <br />Application No.: <br />OFFICE USE ONLY: Fee: $150.00 Date Received: <br />. Receipt No.: <br />Note: This Fee is Non-Refundable Regardless of the Board's Decision <br /> <br /> <br />Applicant.: <br /> <br />-r; rn -I- ~ -r2. 6-SA "13 wc.C I-{ A iV L rJ <br />Name <br /> <br />q SO ,. D~'I7)~~~F~+ lJA: Y <br />Address. <br /> <br />Z e ( - ''150 -II 08' <br />Phone <br /> <br />I am the owner of the herein described property. .1 have authorized <br />to act on my behalf in this matter. <br /> <br />Owner*: <br /> <br />".'S~~ <br />Name' <br /> <br />5'~". . <br />Address <br /> <br />~ .A-- t;" <br />Phone. <br /> <br />I am requesting a varjnnceto S~ct. Jo".. ~33 of the City Zoning regulations Chapter 106 of the <br />Code of Or~inance. rtLlJle. 8 <br />I am requesting this variance for property located at q 5" Q I Dre. '( . 'Dt:;-s (~I <br />Street Address <br />L.. to + 2- I () I I) c. Ie::. 3 I 5" i c 2. 5 l.A. ..... "'" C:~ W , ~ S <br />Legal Descripti~'n <br /> <br />Site PIa n <br />( Major llevclopment Si~e ~Ian <br /> <br />. () Minor Development Site Plan <br />( ) General Plan <br /> <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 r~q~est. <br />* [{applicant is NOT the owner, he must provide Authorization to act on .the Owner's belialf. <br /> <br />. 4-/)t),of ". '.' ..". ~P1A~' <br />Date Applicant's Signature <br />" . Office Use Only <br />Sit~ PI:lD ~nd Authorization (ifapplicable)'attached? Yes () ~o.() <br /> <br />Date transmitted to the Board of Adjustments: . <br /> <br />Meeting Date: <br /> <br />Applicant Notified of Date: <br /> <br />Notice to surrounding property owners- Date: <br /> <br />Board's Decision: . Approved ( ) <br /> <br />Denied () <br /> <br />Notice of Hoards Decision mailed to Applicant/Owner: <br />