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Application & checkCity of Coppell Planning Department 255 Parkway Blvd. Coppell, TX 75019 (972) 304-3678/Fax: (972) 304-3570 Name of Applicant: Address: "'2_ ,~ 0 Telephone Number: Zoning Requested: Zoning Application Date: Fax Number: Pbs jz. Total Number of Acres: Property Location: Reason(s) for Zon~g Ch Note: Applicant is responsible for erecting, maintaining and removing a sign to notify the public of the pending zoning application. The sign shall be posted ten (10) days prior to the Planning Commission meeting and shall be removed after the City Council's approval or disapproval of the application. Failure to erect the sign at least ten (I0) days prior to the Planning Commission hearing will result in postponement of the zoning case until this condition is met. A deposit in the amount of one hundred ($100.00) will be required of the applicant when he or she requests a sign. The deposit will be refunded by mail if the sign is returned in good condition to the Planning Department. Name of Representative: L~.~ ~'~~ Name of Owner: Owner' s Signature: Date: