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<br />DD I - 00 00 ~ '-( 08' - 01 OlJ) ....l-t1 <br /> <br />f: <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 />Note: This Fee is Non-Refundable Regardless of the Board's Decision <br /> <br />Vot ~ DOt} <br />II - l '1-0 g <br />/ 'd 3LRo <br /> <br />Applicant: <br /> <br />~5kL tI dirt -I- dtr" j/~ <br />Name 1/lJf'-;?f,2-7S/slh <br />3:;6 S~ ~cl~ tUes/- '01/- 9f'l--J7.1! Ih> <br />Address rX it)Sit 1- Phone IdJ3 ( uti) <br />d~,~~ <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*: 5fw~ f/dk <br /> <br />Name <br /> <br />;1/6 5~,~,M-sl- p'r-"t)~-I7;L/ <br /> <br />Address (./ Phone <br /> <br />I am requesting a variance to Sect. I of the City Zoning regulations Chapter 106 ofthe <br />Code of Ordinance. (? I 17 I <br />I am requesting this variance for property located at 3.:2h ;Jp.e~ ~~ t."..hy <br />Street Address <br /> <br />Legal Description <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 />~ The type of relief I am seeking (setbacks, lot coverage, etc.). <br />c) . The grounds upon which I am making this request. <br />* IfappkantisNOTtheowner,hemustprovideAuth . 'onto ctorftheOwner,sbehalf.~ <br /> <br />./1-18~{JzY ~ <br /> <br />Date <br /> <br /> <br />Office Use Only <br />Site Phn 2nd 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 />Notice to surrounding property owners- Date: <br /> <br />Board's Decision: <br /> <br />Approved ( ) <br /> <br />Denied ( ) <br /> <br />Notice of Boards Decision mailed to Applicant/Owner: <br />