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Nlake WE P3-5/FP-CS 830504g CITY OF COPPELL· P.O. BOX 478 COPPELL, TEXAS 75019 SUBDIVISION APPLICATION Date Subdivision Name Preliminary Plat Z-"'-~ Final Plat Applicant l~+~ Address I O~ ~f~[X~O~- Stree~ ....... ~ Cit~ ~, I ~S~e Phone % ~ Firm Preparing Plat Address ~~ ~/~ Street ' ' City ' StYe Phone 9 Address Zip Zip e Phone ~ Developer Address Street City State Zip e Street City State Zip Phone # All Correspondence relative to this application should be directed to whom: Name Address City, State, Zip Phone # General Location of Property e 10. What is the present Zoning District? ~F-/~ Are you requesting any zoning change? ~O If yes, what is the Case File No'? Zoning district requested? Proposed Subdivision Contains: Land Use Single Family Duplex Multi-Family Commercial Industrial Public Street R/W Parks, Public Condominium (specify new or converson) Total No. of Lots or Units Acres (for each use) SUBDIVISION APPLICATI PAGE 2 11. Filing fee check made payable to the CITY OF COPPELL' ' is enclosed in the amount of $ ~/~'~0~) , (See Fee Schedule Below). Residential /(P~. DO ~,~O Preliminary ................... ~+ ~ per lot Final ......................... 4~~-+ ~ per lot Ind,%~ C~ercia~l, Ap~tment or Other ~~.....~/...~.$25.0/0~+ $.5.~0 per a~re ~ .......... $25. + 00 per re I certify that the above information is correct to the best of my knowledge. Signature Propert$/Owner PAID or DATE CK# ~0~~~Agent For RECEIPT ~ Property Owner FOR STAFF USE ONLY 1) 2) 3) 4) Filing Fee Previous Cases Plats Review Committee Docket Date STAFF COMMENTS