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City of La Porte Planning & Development Department Phone: 281.470.5073 <br />604 W. Fairmont Pkwy. Fax: 281.470.5005 <br />La Porte, TX 77571 ZONE CHANGE PERMIT APPLICATION wvvw.laportetx.gov <br />1. PROPERTY OWNER CONTACT � <br />IN/FFORMATION- C FJ c�J j J <br />OWNER'SNAME:( J�f!(L✓�IJ% )c/`/(%y1�LS j�Z✓�'. PHONEI: (�/�(/�L(/��[////%F� <br />PHONE 2: } 1 -! i" `}'C1 / /� FAX H:' b1gQG' `lO <br />E-MAIL: t �i(!�(xtP`r�Ly (j�(Cf�ll�W�,� jSC1^�� -7�F' <br />MAILING ADDRESS: r 0 I 06 INH t i , F K i i�Y 5y_) 6V& I f� C% Sq <br />2. AGENT REPRESENTING PROPERTY OWNER (If Applicable): �y t <br />AGENT/ CONTRACTOR COMPANY: t� U �L S � ► I) VK' <br />PHONE 1: PHONE 2: <br />E-MAIL: FAX N: <br />MAILING ADDRESS: <br />CONTACT PERSON'S NAME: PHONE: <br />3. PROPERTY DESCRIPTION: <br />HCAD PARCEL NO(s) 13 -digit Tax ID(s): 1.) <br />2.) <br />3.) <br />PROPERTY ADDRESS (If existing): <br />PROPERTY LEGAL DESCRIPTION: <br />4. ZONING INFORMATION OF PROPERTY: D <br />CURRENT ZONING DESIGNATION: L'C'-t v� ��� REQUESTED ZONING DESIGNATION: <br />CURRENT SIC/NAICS USE NO.: PROPOSED USAGE: A KoVt.C.-C S <br />5. APPLICATION CHECKLIST & SUPPORTING DOCUMENTATION (Check applicable boxes): <br />COMPLETE ITEMS 1-5 OF PERMIT APPLICATION <br />® ATTACH CERTIFIED PLAN (check aoolicable box(esll: <br />GENERAL PLAN ® MINOR DEV. SITE PLAN ® MAJOR DEV. SITE PLAN ® PRELIM. PLAT <br />SUBMIT NON-REFUNDABLE $300.00 APPLICATION FEE _ <br />PRINTEDNAME: �3f1"/3YCGacS %fkuwczwi SIGNATURE DATE: <br />(STAFF USE ONLY): APPLICATION NO: ^ Z t�C� 0 3 <br />DATE OF P&Z PUBLIC NEARING: RECOMMENDATION: ® YES ® NO <br />APPLICANT & ADJACENT OWNERS NOTIFIED: ® YES ® NO DATE OF NOTIFICATION: <br />DATE OF CITY COUNCIL AGENDA: APPROVED: ® YES ® NO <br />ADOPTED 8Y ORDINANCE NO.: <br />COMMENTS: <br />