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PD112-CS 900418 (2)Revised: 6-17 87 **MUST RETURN ALL SIX PAGES OF THIS APPLICATION CITY OF COPPELL ZONING APPLICATION 214-462-0022 A: Requestin$: Specific Use Permit [ ] B. Description & Location of Property:. 1. Survey & Abstract: ~,~ 2. Addition Name (if applicable): 3. Lot & Block (if applicable) ~'~i/ 4. Total Number of Acres: 5. Location further described: C. Zoning Requeste~: /~, ~ Present Zonin8 Proposed Zonin~ - ~a_~ Dwelling Floor Area Classi~i- Gross Net* Gross Net* Units/Acre (Non-Resid. cation Area Area ca_t ~on. Acres Acres (Resid. Only) Uses Only) *Excludes major & ~econdary thoroughfares. D. Reason(s) for Zoning Change (please be specific): E. Fee: I (We) hereby certify that the application fee, $ to cover the cost of this zoning application, has been paid to the City of Coppe;1 on , 19 . Further, I (We) hereby authorize the City of Coppell and its employees, to enter' upon the premises herein above described at all reasonable times for the purpose of erecting, maintaining, or removing signs to notify the public of the pending zoning application and/or public hearing concerning said application. I (We) release the City of CoppeI1 and its employees from liability for any damages which may be incurred to my (our) property in the erecting, maintaing, or removal of said signs.