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Application & checkFiling Date: 4- i~- ~3d3 Name of Applicant: ~-x ~eeh:~ Filing Fee: Applicant Address: U~53 (~q'-,t~s'~o ~ 0_}e~et(, '~ Telephone Number:(. ~Z'~ Id.'lt- 86~ ~3 Fax Number: Firm Preparing Site Plan Package: Address: Telephone Number: ,ite Plan Application Plann/ng Department 255 Parkway Blvd. Coppell, Texas 75019 Phone: 972-304-3678 Fax: 972-304-7092 qgo t~ Zt~ cte.q'-- Ct~(~c~ FaxNumber: [.O_rq~. ~o~'~ O5'i~/ All Correspondence relative to this application should be directed to: Address: t333 C,c.-s~- s~l~ Telephone Number: (_0.'19-) Coa0e t(. 'TY, [-{'l~-~t, 2- 3 FaxNumber:kO'/)} Name of Subdivision or Plat: General Location of Property: Present Zoning: L- Z' Proposed Site Plan Contains: Single Family Commercial Townhouse Retail Duplex Light Industrial &.,5'2 7 Multi-Family Planned Development Mobile Home Hoodplain Dffice Owner's Signature: Date: q- t2~03 U:/Central/P&ZsrffSubmission Forms App and Checklists/Site App