Application & checkSent By: City of Coppel)~; 972 304 7092; 8ep-11-02 9:30AM; Page 4/4
'" = ' ' ' ' ' ° ' Site Plan Application
255 Parkway Blvd.
Filing Date:~
Coppoll, Tcxa~ 75019
Phone: 972-304-3678
Fax: 972-304-7092
Filing Fee: ~
Name of Applicant: ....
Applicant Addroaa:
Telephone Number:
dH Corresj~o~rtce relative to this application should be directed to:
Name: ~
Name of Subdivision or Plat:
G-~neral Location
Present Zoning:
Proposed Site Plan Contains:
Mobile Home
Signature: __ Date:
U:/Central/P&Zsr0Submi.~ion Forms App and Cheeklist.q$ite App
09/11/2002 WED 09:05 [TX/RX NO 8193]