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<br />CITY OF LA PORTE <br />ZONING BOARD OF ADJUSTMENT <br />SPECIAL EXCEPTION REQUEST <br />Application No.: ,\, 1=/1/ () - () 00( <br />OFFICE USE ONLY: Fee: $150.00 Date Received: /.- f?-- /0 <br />Receipt No.: Lj 3!f () / <br />Note: This Fee is Non-Refundable Regardless ofthe Board's Decision . <br /> <br />Applicant: <br /> <br />(S t.\::, ~ X I LP <br /> <br />Name <br /> <br />\)(:J ~b~ \\"19 ~~(\hrK-\X PH: ~1-Lllq-~5 <br />Address ll~30 <br /> <br />I am the owner of the herein described property. I have authorized -:SeJ'\ ~"ord <br />to act on my behalf in this matter. <br /> <br />Owner'" : <br /> <br />bC-~<S Kl LP <br /> <br />Name <br /> <br />~a ~\ \lq ~;V~l\'(ll'S)bPH: d..~ l~lq-<..tCS~ <br /> <br />Address <br /> <br />I am requesting a Special Exception to Sect. /06-- / c; / of the City Zoning regulations Chapter 106 <br />of the Code of Ordinance. jJ _ <br />I am requesting this Special Exception for property located at 37J2!!r S /2 N. &/I;~ <br />! _ l- li- / I /)/' J/ L LStrflt!t Address <br />~ IS q /171' &{ {J / () f--~. / 0 I .C/ I rJ YU- <br />Legal Description <br /> <br />W 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 on the wner's behalf. <br /> <br />Office Use Only <br /> <br /> <br />\-9 -/0 <br /> <br />Date <br /> <br />Site Plan and Authorization (if applicable) attached? Yes 0 No 0 <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 />