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<br />CITY OF LA PORTE <br />ZONING BOARD OF ADJUSTMENT <br />SPECIAL EXCEPTION 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 />07- (J05 <br />6 - b - 07 <br />/ t'J{) ~~oS <br /> <br />Applicant: <br /> <br />Tro~ <br /> <br />Tonke(SIL~ <br />Name <br /> <br />qlOl SprnUf Hwu, J L,f). fortt <br />Addr~s <br /> <br />I am the owner of the herein described property. I have authorized T (011 lD..n ker<\. I ~ <br />to act on my behalf in this matter. ~ <br /> <br />PH: Z gt ~ q 30-0lXf 2.. <br /> <br />Owner" : <br /> <br />Petfo . fh em Re~ c( 01\ on <br />Name 11~11 <br />qloz Sptn (lif H[)i~"; L,/L forte1T1 PH: Z~J ~q30-00Z. <br />Address <br /> <br />I am requesting a Special Exception to Sect. -'00- I <br />of the Code of Ordinance. <br />I am req uesting this Special Exception for property located at <br /> <br />of the City Zoning regulations Chapter 106 <br /> <br />Lot 5 <br /> <br />,<)pen cer <br /> <br />H lJ.[0I. Estate,s <br />Legal Description <br /> <br />q 1l)2 Sf (' (l ('j ( <br />Stree Address <br /> <br />( ) Site Plan <br />( ) Major Development Site Plan <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! 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 0 ' behalf. <br /> <br />\Juoe G, 1J)Dl <br />Date <br /> <br /> <br />--'" <br /> <br />Office Use Only <br /> <br />Site Plan and Authorization (if applicable) attached? Yes () No () <br /> <br />Date transmitted to the Board of Adjustments: <br /> <br />Meeting Date: <br /> <br />Applicant Notified of Date: <br /> <br />Board's Decision: <br /> <br />Approved ( ) <br /> <br />Denied ( ) <br /> <br />Notice of Boards Decision mailed to Applicant/Owner: <br />