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Application & checkCOPFELL Site Plan Application Planning Department 255 Parkway Blvd. Coppell, Texas 75019 Phone: 972-304-3678 Fax: 972-304-7092 Filing Date: Filing Fee: / ApplicantAddress:/~.(~ ¢ .]~".~ TelephoneNmber: 77~~~ F~Smber: ~i~ ~re~n~ Si~ ~,~ m~a~: ~~ Address:/~ ~, ~[~ ~~ Telephone N~ber: ~/~ ~ 5~7 ! All Correspondence relative to this application should be directed to: Address: [ ~)r'~,. ~-/]~ Telephone Smberg oeSu vi on or General Location of mropeny~P l Present Zoning: /~ [ Proposed Site Plan Contains: , ~" ~- m~. I~. eh/eli use Sinj[le Family Zommercial Townhouse Retail Duplex Light ~dusffial Multi-Family P~ed Development Mobile Home Floodpla~ Owner's Signature: / ..~?~4t% ~- U:/Central/P&Zsrf/Submission Forms App and Checklists/Site App Date: