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Application (Admin. Approved)T . = c , T . · . ~Administrative Approval of a C-O1/'i:'-Ei L Adm nistrativa JOP ] tl' Filing Date: ff-'~ ~"Oq Filing Fee: $250.00 Name of Applicant: Plan Amendment Planning Department 255 Parkway Blvd. ~ Coppell, Texas 75019 ~_A~©(~ Phone: 972-304-3678 .,' _ Fax: 972-304-7092 Date Applicant Address: Tel~hone N~ber: ~lq' F~ Prep~g Site PI~ Pac~ge: Address: Telephone Number: Fax Number: All Correspondence relative to this application should be directed to: Address: Telephone Number: Fax Number: ~.l¢-,g T- Ozl'O~' Property Address: /20 .9 /-)e~;vd rd? ~ ~?(y~ T~-- Legal Description of Property: ~ O~f ~' ~ ~ ~ oc~ ~ Preset Zoning: ~td~' Pro~sed Site PI~ ~m~t(s): Submission Requirements: Three (3) folded, black line copies of all exhibits applicable to the request, including, but not limited to site plan, landscape plan and elevation. Staff will review the request within 10 working days and return as Approved; Approved, subject to conditions or Denied. If denied, the applicant may submit amended site plan to the Planning and Zoning Commission for a recommendation and City Council for action. Owner's Signature: /~~ Date: ~' Irs GQ