Zone Change Sign DepositCITY OF COPPELL
PAYMENT AUTHORIZATION MEMO
Vendor#: Date: 12/5/17
Pay to: Oliver Kaeini, Technology Building Group
Address: P.O. Box 96252, Southlake, TX, 76092
City Employees - Please put in your department name above
Charge to: O l - e Jc)
Fund -Department -Division -Expense Code
If more than one, please use bottom section
Total Amount: $200.00 Total at left should match total at bottom ofpage.
Zoning Change Sign Return Deposit 705 S. Coppell Rd
Description/
Explanation:
Approval:
Please use the space below for additional account numbers and amounts
)proved for payment by:
voice No.
voice Date:
DEPOSIT FORM
CITY OF COPPELL
ZONING CHANGE SIGN REQUEST
NAME OF DEVELOPMENT:
DEVELOPER/REPRESENTATIVE:
LOCATION OF DEVELOPMENT:
This is to verify that a deposit in the amount of $ has been received for —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
within the stated time will result in the forfeiture of your deposit.
Le Y\{
SIGN RECEIVED BY
P- \- -+
DATE SIGN 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 $ ?�
SIGN RETURNED BY
az/L+ � 1-7
DATE SIGN RETURNED
bis \ C' -e_ e- 1
SIGN RECEIVED BY
FINANCE DEPT SEND REFUND CHECK TO:
P. 0. RJ o\c. q (e 2 5 2
Sbo-O.1c.A,e ,-rx 760012
J:\P&ZSTF\PZ Admin STF\MYStuff\Planning Stuff\Zoning Change Deposit Form.doc
INVOICE NUMBER
INVOICE DATE
BILLING CONTACT
• •�•
••••••
Technology Building Group Inc.
INV -00004865
1230 W Continental Blvd
08/31/2017
Southlake, Tx 76092
NONE
INVOICE NUMBER
INVOICE DATE
INVOICE DUE DATE
INVOICE STATUS
INVOICE DESCRIPTION
INV -00004865
08/31/2017
08/31/2017
Paid In Full
NONE
REMITTANCE INFORMATION
City Of Coppell
P.O. Box 9478
Coppell, TX 75019
TOTAL 1 $200.00
December 05, 2017 255 Parkway Boulevard, Coppell Texas 76019 Page 1 of 1
TOTAL
REFERENCE NUMBER
FEE NAME
PD17-08-000173
Zoning Sign Deposit
$200.00
705 S Coppell Rd Coppell, TX 75019 SUB TOTAL
$200.00
REMITTANCE INFORMATION
City Of Coppell
P.O. Box 9478
Coppell, TX 75019
TOTAL 1 $200.00
December 05, 2017 255 Parkway Boulevard, Coppell Texas 76019 Page 1 of 1