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<br />;/ <br /> <br />r <br /> <br />~~ <br /> <br />CITY OF LA PORTE <br />ZONING BOARD OF ADJUSTMENT <br />V ARlANCE REQUEST <br /> <br />Application No.: <br />OFFICE USE ONLY: Fee: $150.00 Date Received: <br />Receipt No.: <br />~ This Fee is Non-Refundable Regardless of the Board's Decision <br /> <br />v O~ - OO::L <br />o 4-olt/-o~ <br />, ~1J.3. <br /> <br />Applicant' ,11,$cJtJt))H.) ];./tYai,t;#4#cf!1 lJe;elljI/IIf',vT: lie. <br />? uI- ~~ Name 7/ ]:-'/l~ - r"fso cel! <br />FO' fl/)rCIIE~ /115;37/2/ to/- qt2 ,t,t,f/? t9rr,'c-e <br /> <br />Address Phone <br /> <br />I am the owner ofthe herein described property. I have authorized <br />to act on my behalf in this matter. <br /> <br />Owner*: <br /> <br />Name <br /> <br />Address <br /> <br />Phone <br /> <br />I am requesting a variance to Sect. I f,tJ - IPdltJ of the City Zoning regulations Chapter 106 ofthe <br />Code of Ordinance. II A . ..1 . <br />I am requesting this variance for property located at T~ks ~ 17. 3 ~ I/7T, (1, SA <br />. f" ~t A dress I / {t II <br />JL/txJ,. /'1/0/ IS- 00 .5 DfJlJ.. It, 57ie e'f'T (ItJlUc(( _) tK() I t.JI~ T 111 <br />Legal escription <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 a}Jplil:ant is NOT the owner, he must provide Authorizatio <br /> <br />~#y <br />, D e <br /> <br />Office Use Only <br />SitePl:1n 2nd Authorization (if applicable) attached? Yes() No() <br /> <br /> <br />Date transmitted to the Board of Adjustments: <br /> <br />Meetir,g Date: <br /> <br />Applicant Notified of Date: <br /> <br />Notice to surrounding property owners- Date: <br /> <br />Board's Decision: <br /> <br />Approved ( ) <br /> <br />Denied ( ) <br /> <br />.."u_..!~ T\M:~;nn m~i1ed to AODlicantlOwncr: <br />