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Nlake WE P3-5/FP-CS 830504 (2)CITY OF CO'PPELL · P.O. BOX 478 COPPELL, TEXAS 75019 SUBDIVISION APPLICATION J Subdivision Name Preliminary Plat Applicant Address Phone # Firm Preparing Plat Final Plat Street City State Address Phone # Property Owner Zip Street City S ta te Zip Address Phone ~ Developer Address Street City State Zip 0 Street City State Zip Phone # Ail Correspondence relative to this application should be directed to whom: Name Address City, State, Zip Phone # General Location of Property 10. What is the present Zoping District? ~_/.~k Are you requesting any zoning change? HO If yes, what is the Case File Zoning district requested? Proposed Subdivision Contains: Land Use Single Family puplex Multi-Family Commercial Industrial Public Street R/W Parks, Public Condominium (specify new or converson) To ta 1 No. of Lots or Units Acres (for each use) 1 SUBDIVISION APPLICATIOn. PAGE 2 11. Filing fee check made payable to the CITY OF COPPELL is enclosed in the amount of $ , (See Fee Schedule Below). Residential Preliminary ................... ~ + ~ per lot Final ......................... ~+ ~per lot Indus~Co~mmercig~, ~ment or O~~-~.. Cp~mina~''' .... ~.'';~ +. 2 ~A0 per~ . · 0 I certify that the above information is correct to the best of my knowledge. Signature PAID or DATE CK # RE~IPT # Prope~ Own e'~- Authorized Agent For Property Owner FOR STAFF USE ONLY 1) Filing Fee 2) Previous Cases 3) Plats Review Committee 4) Docket Date STAFF COMMENTS