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Application & check Revised: 6-17-87 **MUbT RETURN ALL SIX PAGES OF THIS APPLICATION CITY OF COPPELL ~ ZONING APPLICATION 214-462-0022 A: Requesting: Specific Use Permit [ ] B. Description & Location of Property: 1. Survey & Abstract: -~kw% ~_. 2. Addition Name (if applicable): 3. Lot & Block (if applicable): 4. Total Number of Acres: %~_. 5. Location further described: ~e~ i% %ou~ ~ ~ ~z~0'~4~ ~-~ C. Zoning Requested: ~- ~" Present Zoning Proposed Zoning Dwelling Floor Area Classifi- Gross Net* Classifi- Gross Net* Units/Acre (Non-Resid. cation Area Area cation Acres Acres (Resid. Only) Uses Only) *Excludes major & secondary thoroughfares. D. Reason(s) for Zoning Change (please be specific): -~o ¥ E. Fee: I (We) hereby certify that the application f~$ , to cover the cost of this zoning application, has been pai~%~ity of Coppell on , 19. Further, I (We) hereby~~e"C~y'.'of Coppell and its employees, to enter upon the premises h~~~cribed at all reasonable times for the purpose of erecting, maint~~ remoy~ signs to notify the public of the pending zoning application ~d~o~l%~ing concerning said application. I (We) release the City of C eo~.ll, a~i~s- nployees from liability for any damages which ~y be incurred to my (9~r) property in the erecting, matntaing, or removal of said signs. ~.. ~5 . ~.~' ..... Date: ~ ~ ~ ~ers Name: Representative: ~ ~&~ Address: ~O~ Telephone ¢: 7 %~ - ~