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Application & check T H E (: I T Y 0 F COPPEL£ Name of Applicant: Filing Fee: Site Plan Application Planning Department 255 Parkway Blvd. Coppell, Texas 75019 Phone: 972-304-3678 Fax: 972-3'04-7092 Applicant Address:2r~ .~ ~--~l t .~4~. ~Pia. lbl,~:s~ ~.~--j:~, ~ Telephone Number: e~'.-[~. Firm Preparing Site Plan Package: Address: ~>{~ ~ Fax Number: eT'lo_ Telephone Number: .~.-'~'~-al Itc] Fax Number: All Correspondence relative to this application should be directed to: Name: Address: Telephone Number: Fax Number: Name of Subdivision or Plat: General Location of Property: Present Zoning: ~___-..- ~,4~/k~~'--3 Proposed Site Plan Contains: ~.'~::~t~ana~.use/!~ ~ ~o ,~f~ ~ot?or~ ~ . 3~gle Family Commercial row~ouse Duplex Light ~dus2ial MuIfi-Family Pla~ed Development Mobile Home Floodpla~ Df f ice Owner's Signature: Date: U:/Central/P&ZsrffSubmission Forms App and Checklists/Site App