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Application & check T H E: C I T COPP-ELL Filing Date: ~ Name of Applicant: Applicant Address: Telephone Number: ~7~-. f4o2./38~ Site Plan Application Planning Department 255 Parkway Blvd. Coppell, Texas 75019 Phone: 972-304-3678 Fax: 972-304-7092 Filing Fee: Fax Number: Firm Preparing Site Plan Package: gP/,4-fl~ ~d~t/d~c~-'~tdg/, Address: 7a:~ ~". ~>~,tc., ~at~V/~ ~"'o,/7~ 240 Telephone Number: '~72- 4q~?- ~ Fax Number: All Correspondence relative to this application should be directed to: Name: *-~/4~_~ ~"i"~~ ~"~'&' ~,t~ad J4J'/~ Address: 7~o ~, ~ ~ ~n~ ~o ~o ~ Telephone Number: Fax Number: Name of Subdivision or Plat: General Location of Property: Present Zoning: Proposed Site Plan Contains: 5ingle Family £ommercial Fownhouse Retail Duplex Light Industrial Multi-Family Planned Development Mobile Home Floodplain Dffice '2~ 2. "/I'~ Owner's Signature: Date: U:/Central/P&Zsrf/Submission Forms App and Checklists/Site App