Application & checkFiling Date: IQ/ZO/OC[
Name of Applicant:
Applicant Address:
Telephone Number:
Filing Fee:
Site Plan Application
Planning Department
255 Parkway Blvd.
Coppell, Texas 75019
Phone: 972-304-3678
Fax: 972-304-7092
Fax Number:
Firm Preparing Site Plan Package:
Address:
Telephone Number:
Fax Number:
All Correspondence relative to this application should be directed to:
Address: ~y~ -~/ /~./'/~'/~/rO(e' "~/,//
Telephone Number:,~/
~r/4~ ?~ .~Sh,? /
Fax Number: ,~/ ¢.) 5 ~ - ,~ ~o~/
Name of Subdivision or Plat:
General Location of Property:
Present Zoning: 7~-; c,A,d
Proposed Site Plan Contains:
~in~le Family Zommerci~l
Fownhouse ;retail
Duplex Lifiht Indus~ial
Multi-Family Planned
Development
~obile Home Floodpla~
Dffice / fl~ ~
Owner's Signature: (~,.m F/-~ .~. ,~
U:/Central/P&Zsrf/Submission Forms App and Checklists, Site App
Date: