SITE17-12-000204_Page_1 ADM APPT H E • C I T Y • O F
COPPELL
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Filing Date:
Administrative Approval
Minor Site Plan Amendment
Planning Department
265 Parkway Blvd.
Coppell, Texas 75019
Phone: 972-304-3678
Fax: 972-304-3570
Filing Fee: $250 I
Name of Owner: co��� ✓ ` �.'- ° (,'i cT 5/cGi L�
Owner Address: Iso
i
Telephone Number: -7 Z3 S i 'c3-21EMAIL: j /t C_7 -Ci- 1✓l e, -Pr& DC) F 14--`-
Firm Preparing Site Plan Package:
Address:
Telephone Number:
EMAIL:
All Correspondence relative to this applicationn should be directed to:
Name: [A cw,-
Address: 7-L (0 1
Telephone Number (�l MAIL: V? (,7R'W- 'r- L/l it` d- c )` s C P-1 e -A' ° r"P -'
)Legal Description (lot, block, subdivision name): 1;_X-�AV—,W .yU
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Property Address: l.)
Present Zoning:
Description of proposed Site Plan Amendment:
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.coppelltx.gov as a
public document.
Wri hereby authorize this apph atioUbttedfor the above described property.
Property Owner's Signature: Date: G - (-k' - D i -4