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Application - ADM. APPRV. ~ TN'" ... , T T . o F Filing Date: _~ FIImg Fee: $150.00 l,'\j.c; / /kA ~/ Administrative Approval of a Minor Site Plan Amendment Planning and Economic Development 255 Parkway Blvd. Coppell, Texas 75019 Phone: 972-304-3678 Fax: 972-304-7092 COPPELL +~*~+ 1: ~ q ..\' ,.., oS ' \ I'> Name of Applicant: ,I ,\.t '1fN\.t r:;:&TV! . " (J ,'7'11 \ (01\( 1\-('1 ;'lh" Applicant Address: Telephone Number: C}1L--~; cr~ . .-, , ;.-", Lj ('- l; c: J, '" ..f:i- ~ c') / Fax Number: FlllTI Preparing Site Plan Package: Address: Telephone Number: Fax Number: J AI! Correspondence relative to this application should be directed to: 14ftJr.'l//J Name . ~Stl'iJ/;" 6' ~,' 0" '" t! I fl, Address: Fax Number: ' /I r~ f.l.OI'OIt( Telephone Number:_ _ '" Property Address: _, "~fl~. '1:0/ '~f(:;o " <0 ""'. Legal Description of Property: Present Zoning:_ Proposed Site Plan Amendment(s): ') (J r . ",. ,- - -, " h. (:- <" 1>--], .~ " i I t Lf\. ) . ~- II.., ;~7 /rJ ;j '\J JL ~ '. r 1 ' f! n: ,,' ('f( 'j),~/7 ~}t/~.~~ Submission Requirements: Three (3) folded, black line copies of all exhibits applicable to the request, mcluding, 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 reconv::endation and City Council for action. ) ';:J" "J'-l ,j Date: I'D, '- '-,. c (~ Owner's Signature: 1)203 03