Application & checkCOPPELL
Site Plan Application
Planning Department
255 Parkway Blvd.
Coppell, Texas 75019
Phone: 972-304-3678
Fax: 972-304-7092
Filing Date:
Name of Applicant:
Applicant Address:
Telephone Number:
Firm Preparing Site Plan Pa6kage:
Address:
Telephone Number:
Filing Fee:
F~Number: 972 393
F~ Number: 07t
All Correspondence relative to this application should be directed
Name: ../c,q~ L.
Address: [3~
Telephone Number:
N~eofSubdivisionorPlat: ~oC/~ ~c~ /, ~o'~6' Z0~'~,
General Location of Prope~:
~esent Zoning:
Proposed Site PI~ Contains:
Land Use No. of Lots or Acres for Land Use No. of Lot or Acres for
Un=its each Use Unit each Use
3ingle Family ,~ iommercial
Fownhouse,~-" Retail
Duplex ~ Light Industrial
Vlulti-Family ,.~r~ Planned
Devdopment
Vlobfle Home ,/::~ ~loodplain
ffice I f6
Owner ' s Signamre.'/~x "~-)//~ 2----~- -- Date:
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