08-26-2004 Regular Meeting and Public Hearing of the La Porte Zoning Board of Adjustment

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iCClrLt v ~_~ ~~., - CITY OF LA PORTE ZO~G BOARD OF ADJUSTME~ SEP 0 1 2004 SPECIAL EXCEPTION REQUEST . ~ Application No.: -- OFFICE USE ONLY: Fee: $150.00 Date Received: - ~ ' (~ (. - Receipt No.: ~ - Note: This Fee is Non-Refundable Regardless of the Board's Decision Applicant: ~~,'~ 1 in~7lE ~ ~~el - ~t-~~v~~h~ 1'Cr~tt-it~~'~S Name 7eec~ ~~r ~- ~ ~~x~ S ~7~ ~ =~cr Address ~,~. PH: ~? 1 ~ ~ 30 • X3`13 Zip I am the owner of the herein described property. I have authorized izx~~b:i C;r~<;{-~.~ to act on my behalf in this matter. j ~ ~~) ~I ~ C1 - ~ qp~ Owner*: m i~~i ~rrmt r~Jc~te.1 _ Name i 50l Cec7t~.~ ~ ~eT . ~ee~ ~~?c`k ~ Texe 5 '"~ ~1 `~3b PH: r~~ 1 ~ ~ ~ ~'884Z Address I am requesting a Special Exception to Sect. 1 D tv ~ ~~~ of the City Zoning regulations Chapter 106 of the Code of Ordinance. I am requesting this Special Exception for property located at CO`s J~Cx~i]~ ~' •~ l ~ ~'~r~.t, Street Address ~,~n~re ~t~t~c~~.~ r.,r, ~x~rP~~ C'~r 11P ~ n~' l~~st ~ ~ S~i.•~t(n ~;h Legal Description (~ Site Plan ()Minor Development Site Plan ()Major Development Site Plan ()General Plan A Site Plan of the property is attached. Also, I have listed the information requested below on the following pages of this form. a) All facts concerning the matter that has led up to this request. b) The type of relief I am seeking (setbacks, lot coverage, etc.). c) The grounds upon which I am making this request. * If applicant is NOT the owner, he must provide Authorization to act on the Owner's behalf. '• U~ /~ i lar'~~~i Date Applicant's Signature Office Use Only Site Plan and Authorization (if applicable) attached? Yes () No ( ) Date transmitted to the Board of Adjustments: Meeting Date: Applicant Notified of Date: Board's Decision: Approved () Denied ( ) Notice of Boards Decision mailed to Applicant/Owner: _