Zone Change SignVendor#:
Pay to:
Address:
Charge to:
Total Amount:
Description/
Explanation:
Approval:
CITY OF COPPELL
PAYMENT AUTHORIZATION MEMO
Date: 10/11/17
JET Financial Group
212 Olympia Lane, Coppell, TX 75019
CityEmp oyees - Please put in your department name above
Fund -Department -Division -Expense Code
if more than one, please use bottom section
$200.00 Total at left should match total at bottom of page.
Zoning Change Sign Deposit Refund
Please use the space below for additional account numbers and amounts
Account Number Amount
TOTAL $200.00
Approved for payment by:
Invoice No.
Invoice Date:
BILLING CONTACT®®
Michael Adams
Firmitas Design •�•� o�
2735 Villa Creek Dr, 275 •
Dallas, Tx 75234
INVOICE NUMBER
INVOICE DATE
INVOICE DUE DATE
INVOICE STATUS
INVOICE DESCRIPTION
INV -00004784
08/25/2017
08/25/2017
Paid In Full
NONE
TOTAL
REFERENCE NUMBER FEE NAME
PLAT17-08-000176 Replat Fee - Non-Residential/Multifamily $135.00
Zoning Sign Deposit $200.00
717 S Coppell Rd Coppell, TX 75019 SUB TOTAL $335.00
TOTAL $335.00
REMITTANCE INFORMATION
City Of Coppell
P.O. Box 9478
Coppell, TX 75019
October 11, 2017
255 Parkway Boulevard, Coppell Texas 75019 Page 1 of 1
DEPOSIT FORM
CITY OF COPPELL
ZONING CHANGE SIGN REQUEST
NAME OF DEVELOPMENT: T42.nce,
DEVELOPER/REPRESENTATIVE: 1�Y'I 1 Y.e. I"lG1Q�
LOCATION OF DEVELOPMENT: L 5 • C� ( �� -
This is to verify that a deposit in the amount of $ d a� 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 thirty(30) days of the Council meeting. At such time, the Finance Department will
begin processing your 'deposit refund. Failure to return the zoning change request sign
wiP the stated time will result in the forfeiture of your deposit.
SIGN RECEIVED BY PAID
0 ". vS+ 31, 20 t'1
DAT GN RECEIVED
THE ABOVE-MENTIONED ZONING CHANGE SIGN(S) HAS BEEN RETURNED IN
GOOD CONDITION TO THE PLANNING DEPARTMENT.
PLEASE REFUND THE DEVELOPER'S DEPOSIT IN THE AMOUNT OF $
t
CTG N RFT1JRNED BY (�
L
DATE SIGN RETURNED
��e s.'(". _ iWL
SIGN RECEIVED BY
FINANCE DEPT SEND REFUND CHECK TO:
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J:\P&ZSTF\PZ Admin STRMYStuff\Planning StufflZoning Change Deposit Form.doc