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Jack in the Box/PP-CS000320Subdiv/~ion Application City of Coppell Planning Department 255 Parkway Blvd. Coppell, TX 75219 Phone: (972) 304-3678 Fax: (972) 304-3570 Preliminary Plat Final Plat Minor Plat (4 lots or less on existing street) Replat Amending Plat Minor Amending Plat (4 lots or less) Note: Applications are accepted for submittal prior to the filing date. The filing date shall be exactly 29 days prior to the date of the Planning and Zoning Commission meeting at which the applications will be considered. Name of Applicant: Address: Telephone Number: Firm Preparing Plat: Address: Filing Date: Plae nT L ~14~ F~ N~ber: Fax Number: Telephone Number: All Correspondence relative to this application should be directed to: Name: ~..~fl~_.A.l/, ~1~[~ Address: )~0 ~.l)~O/l/t ~t~, Telephone Number: Fax Number: Name of Subdivision: General Location of Property: Present Zoning: L I Proposed Subdivision Contains: ~ingle Family Commercial Townhouse Retail Duplex Light Industrial Multi-Family ?lannea Development Mobile Home Floodplain Office Owner's Signature: