Zoning Change Sign Refund App ~ DEPOSIT FORM
' CITY OF COPPELL
ZONING CHANGE SIGN REQUEST F~~
NAME OF DEVELOPMENT: ~l~ Q~3''~ ~ U~'fzu ~ Ct'ia~(-u S
DEVELOPER/REPRESENTATIVE: P~N '~'~'0. ~a~-' ~ -
~
LOCATION OF DEVELOPMENT: ~id~ R~toP
This is to verify that a deposit in the amount of $ 1 S0, ~U has been received for I
zoning change request sign(s). The sign shall be posted ten (10) days prior to
consideration by the Planning and Zoning Commission.
The applicant shall place the sign on site where, preferably, it can be easily seen
from a public street. The sign must be left in place until after final consideration by
the Coppell City Council. The applicant shall return the sign to the Planning
Department in good condition within thirtv (30) davs of the Council meeting. At
such time, the Finance Department will begin processing your deposit refund.
Failure to return the zoni change request sign within the stated time will result in
th iture of your osit.
Sign Received by
~~y-~~~~-
Date Sign Received
THE ABOVE-MENTIONED ZONING CHANGE SIGN(S) HAS BEEN RETURNED IN GOOD
CONDITION TO THE PLANNING DEPARTMENT.
PLEASE REFUND THE DEVELOPER'S DEPOSIT I THE AMOUNT OF O~
21? ~va Ha
SIGN RETURNED B
FINANCE DEPT SEND REFUND CHECK TO:
5=~~ ~9 ~~oke S s P~ c..
DATE SIGN RE~URNED (o ~O .nol/ tr'u-0 S~ ~
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S N RECEIVED BY
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i ZONE SYSTEMS, INC.
~ 1620 HANDLEY DR. STE. A BANK OF TEXAS N.A.
i DAILAS~ TX 75208 32•1432-1110 9
~ (214) 841-4440 -
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' PAY TO THE
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N J~ f C~ DOLLARS
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CITY OF COPPELL
PAYMENT AUTHORIZATION MEMO
Note: Use mouse fo navigate in form
Vendor Date: May 18, 2009
Pay to: Peter Kavanagh - Zone System, Inc.
(Do not use initials/acronyms/abbreviations)
Address: 1620 Handley Drive, Suite A
Dallas, TX 75208
ACCOUNTING USE ONLY
Charge To: 01-8330
(Fund-Dept-Division-Expense-Code)
Approved for payment by:
Amount: $150.00
Date Paid:
Description/Explanation:
Zoning Change Sign Deposit~ Refund Check Number:
' Invoice No.
Approval:
.
'Jr''~'~j'~~!
L'pdared 12/07 /05