Application & checkRevised: 10-20-86 **MUST RETURN ALL 4 PAGES
OF THIS APPLICATION
CITY OF COPPELL
Z0NINC- APPLICATION
2]4-462-0022
A: Requesting: ~ ~'Y~"Z ~ ~-¢ ~f, ~'~: ~G~"/"'Z77-
/ ~'~. Specific Use Permit
~/~ ~~ ~ ~*,.' ,. ..
B. Description & Location of Prope~~L"~."''
3. Lot a Block (Sf applScable)
4. Total Number of Acres: ~~~(~gej)T~
5. Location further described: ~w~j~ ~~'~
C. Zoning Requested: "v<" ~'POse
Present Zonin~ d Zoning
t., ... p~ling Floor Area
Classifi- gross ~et* Classifi--..'" gross ~J~ ........ ~its/Acre (Non-Resid.
cation Area Area cation ' ~:e~-~Ac res (Resid. Only) Uses Only)
L ~ ~r
*Excludes major & secondary thoroughfares.
D. Reason(s) for Zoning Change (please be specific):
I (We) hereby certify that the application fee, $ ~0~.~, to cover the cost
of this zoning application, has been paid to the City of Coppeli on ~~ /~,
19~. Further, ! (We) hereby authorize the City of Coppe!l and its employees, to
enter upon the premises herein above described at all reasonable times for the
purpose of erecting, maintaining, or removing s~gns to notify the public of the
pending zoning application and/or public hearing concerning said application. I
. . ~'
(We) release the City of Copoe!l and its employees from !iabi~-.- for any damages
which may be incurred to my (our) property in the erecting, maintaing, or removal
of said sig~[.
Date: //t~/~ 1_ 0~ers Signature:
Representat~~ ~ ~ers Kame:
CITY OF COPPELL NO 0 0 0 6 0
P. O. Box 478
~1, TX 75O19
RECEIVED FROM ~"2N,-~~'~' ~))~'~" DATEI-II 19 ~'~
AMOUN. OF ACCOUN
AMOUNT PAID
U CASH ~ECK