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SITE17-12-000206_Page_1T H E • c l T Y - o F COPPELL Filing Date: 01- / 17 Filing Fee: $250 Name of Owner: Administrative Approval Minor Site Plan Amendment Planning Department 265 Parkway Blvd, Coppell, 'Texas 75019 Phone: 972-304-3678 Fax: 972-304-3570 Owner Address: /112 CREsr;s1or-- DR Su/l'; 1oo Coeec, TX Tsoii Telephone Number:97?-W -3 EMAIL: /1f(CNEi�L Firm Preparing Site Plan Package: 8f&HA1A Address: Qy(O N IMOADWAY -<UME 360 4WLAHOMA CITY, OK 7311q Telephone Number: Y78 -S EMAIL:.__AARn/�( (Z(7 9&JH,4A. ('OA All Correspondence relative to this application should be directed to: Name: .SCOTT TRCKA Telephone Number:!7V-! V -q EMAIL: Legal Description (lot, block, subdivision name): COMM- TECK LiIM /I Property Address: ���2 . SRF / 5 E_i . TE 100 COA!/ �al- " F.V zm—1-q — Present Zoning: Description of proposed Site Plan Amendment: EXT'ERIoR sY,4,mE Q — &6 9MR)� 8U%LDIN& REFER TO MINOR SITE PLAN AMENDMENT CHECKLIST FOR SUBMISSION REQUIREMENTS. NOTE: All applications, documents and drawing submitted to the Planning Department are subject to disclosure per the Texas Public Information Act. After final disposition, the complete file will be available at www.coppelitx;gov as a public document. ❑ 1 hereby authorize this application to be sub» pitted for the above described property. Property Owner's Signature: -%� l2[k '� Date: d �J�