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<br />l ' <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 />Note: This Fee is Non-Refundable Regardless oftbe Board's Decision <br /> <br />" D <<it -(")D g <br />\?.-5..0"6 <br />:2.'-1 q, 2. <br /> <br />.~ <br />-s~ 7 SP~C-G::L L-n.~'b./'-',-> e A s;-.-r <br />Address <br /> <br /> <br />Applicant: <br /> <br />J-l/ JLL.J4r/,,'l E DiCK-,E'e<)"c,/J <br />Name <br /> <br />~ <br />~ "' Pbone <br />. 5.:2-(pC/'~-(.-f\'~~L- <br /> <br />I am the owner of the 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. of the City Zoning regulations Chapter 106 ofthe <br />Code of Ordinance. <br />I am requesting this variance for property located at ;;27 s Pe/t,..,....i::q i2- L.fJ,,, 7::>;1/,1(; e4 s..,- <br />Street Address <br />'-, 2-2- g L- JL. ~ <;;. P~/vLe 1?- L-.Y i't- D f Jt..J L $; (2;. C. ;? <br />Legal Description <br /> <br />() Site Plan <br />() Major Development Site Plan <br /> <br />( ) Minor Development Site Plan <br />M General Plan r:6 /1,../(,:& H 12"1611 r <br /> <br />A Site Plan of the property is attached. Also, I have listed tbe information requested below on tbe <br />following pages of tbis form. <br />a) All facts concerning the matter that bas 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 applitant is NOT the owner, he must provide Authorization to act on the Owner's behalf. <br /> <br />/' 2 J()\J20t'<~ LJ~~~ 1)-~-, <br /> <br />Date' Applicant's Signature <br />Office Use Only <br />Site Phn 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 />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 />