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Woodridge P4/FP-CS 830613e CITY OF COPPELL P.O. BOX 478 COPPELL, TEXAS 75019 SUBDIVISION APPLICATION / Date ~i~'~- Final Plat Street Subdivision Name Preliminary Plat Applicant Address Phone # Firm Preparing Plat C i ty S ta te Zip Address ~D/~/ Street City Phone ~ ~ :~, Property Owner Address Street Phone ~ Developer ~ ~ ~J Address Street State Zip City State Zip 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 Zoning District? ~/Y~ 7 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) To ta 1 No. of Lots or units Acres (for each use) SUBDIVISION APPLICATIO~ PAGE 2 11. Filing fee check the amount of $ made ~ayable to the CITY OF C0PPELL is enclosed in ,~'6 , (See Fee Schedule Below). Residential Preliminary .................. ~ + ~ per lot Final ......................... ~ + ~ per lot ~Fco,oo ~o Industrial, Commercial, Apartment or Other Preliminary .................... ~ + ~ per ~ Final ......................... ~+ ~ per ~ I certify that the above information is correct to the best of my knowledge. Signature .... Pro~_0wner ~ dt~z~ ~ent For ~I~ ~ I~-e ~ , ~._~ Prop~ 9wner FOR STAFF USE ONLY 1) 2) 3) 4) Filing Fee Previous Cases Plats Review Committee Docket Date STAFF COMMENTS o o /~/0oo, 0c,3