PD118-CS 910522 RETURN ALL
~AGE$,,OF THIS,APPLICATION
A: Reques~in~l
CITY OF ¢OPPELL
ZONIN,G AFPLICAT,ION
216-~62-0022
Use Per~l~ [ ]
Desc~ipc~?~ & Location
1. Survey & Abstract: ~
2. Addition Name (2~ app2icable):
3, Lot & Block (if spplicable):
Total Number of Acres:
5. Location further
G. Zoning Requested:
Present Zonin~ ...... Proposed Zonins
~ellin$ Floor Area
Classifi- Gross Ne~* Classift- Gross Net* Units/Acre (Nou-Reeid.
cation Ares Area cation Acres Acres (Resid. Only) Uses Only)
*Excludes major & secondary ~horoughfares.
Reason(s) for Zoning Change (please be specific): ,
Fee:
! (We) hereby certify that the application fee, $ , to covet the cost
of this zoning application, has been paid to the City o~ Co~pell on ,_,,
19. Further, ~ (We) hereby authorize the City of Coppall and its ~uployees, to
ente~ upon the premises herein above described at all reasonable times for the
purpose of erecti~8~ maintaining, or removing sigma to .otify the public of the
pendin& zonim$ application and/or public hearing concerning said application. !
(Ye) release the City of Coppell and its employees ftoe liability for any tamaSee
which may be incurred ~o my (our) property in the eraetieg, maiutaing~ or ~ewoval
o! amid signs.
Da,e. ~'- mZ _,9 ~_~_L___ 0010473
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