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Nlake WE P3-5/FP-CS 830504 (3)me e CITY OF CO'PPELL P.O. BOX 478 COPPELL, TEXAS 75O19 SUBDIVISION APPLICATION Subdivision Name Preliminary Plat Applicant Address Phone # Date ~-- / , 19~ Final Plat Stre~t~ .,f~ ~ City State Firm Preparing Plat Address ~33~ Street City Phone % ~ Property Owner State Zip Add re s s e Phone # Developer Address Street City State Zip e 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 oF 10. What is the present ZQning District? -~F-/~ Are you requesting any zoning change? ~_5 If yes, what is.the Case File No'? Zoning district requested? ~) - (_S-~--~.) 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 APPI,I C~TIC PAGE 2 11. Filing fee check ma.~de, p~gyable to the CITY OF COPPELL" is enclosed in the amount of $ _-~/_~2~L0C~ , (See Fee Schedule Below). Residential Preliminary ................... ~ + ~ per lot Final ......................... ~+~ per lot In~mm~l, ~~r~ ........ 5' + $5. per a e I certify that the above information is correct to the best of my knowledge. Signature or PAID DATE CK # RECEIPT # Prope~y Own e~r Authorized Agent For Property Owner FOR STAFF USE ONLY 1) 2) 3) 4) Filing Fee Previous Cases Plats Review Committee Docket Date STAFF COMMENTS