Application & checkRevised: 6-17-87 **MUST RETURN ALL SIX
PAGES OF THIS APPLICATION
CITY OF COPPELL F= '
ZONING APPLICATION .... :
A: Requesting: ~ i
~pec~~-~ermit [ ]
B. Description & Location of Property:
1. Survey & Abstract:
2. Addition Name (if applicable): C~I ~k~~ A~%~O~
3. Lot & Block (if applicable): ~ ~
4. Total Number of Acres: ~ ~.~ ~~ ~~ ~.
5. Location further described:
Present Zoning Proposed Zonsn~
DwellSng Floor ~rea
Class~fS- Gross ~et~ ClassSfS- Gross ~et~ ~n~ts/Acre (Non-Res~d.
cat,on Area ~rea cation Acres Acres (Res~d. Only) ~ses Only)
*Excludes major & secondary thoroughfares.
D. Reason(s) for Zoning Change (please be specific): T~
I
E. Fee:
I (We) hereby certify that the application fee, $ ~~, to cover the cost
of this zoning application, has been paid to the City of Coppell on ~. ~ ,
19~. Further, I (We) hereby authorize the City of Coppell and its employees, to
enter upon the premises herein above described at all reasonable times for the
purpose of erecting, maintaining, or removing signs to notify the public of the
pending zoning application and/or public hearing concerning said application. I
(We) release the City of Coppell and its employees from liability for any damages
which may be incurred to my (our) property in the erecting, maintaing, or removal
of said signs.
Date: J~l~. lill~l ~¢~I~ Owners Name:
Representative: M~ ~rg Address:
qoo
CITY OF COPPELL N
P.O. Box 478
DATE