Zone Change Signa
CITY OF COPPELL
PAYMENT AUTHORIZATION MEMO
Vendor#: Date: 1/5/18
Pay to: John Evans, BLMA Ltd.
Address: 8350 N. Central Expressway, Suite 1300, Dallas, TX 75206
City Employees - Pease put in your department name above
Charge to: 01-8330
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.
Description/ Zoning Change Sign Deposit Refund, Valley Ranch Plaza (PD17-08-000174
Explanation:
Approval:
signature S
Please use the space below for additional account numbers and amounts
Account Number Amount
TOTAL $200.00
Approved for payment by:
Invoice No.
I Invoice Date:
DEPOSIT FORM
CITY OF COPPELL
ZONING CHANGE SIGN REQUEST
NAME OF DEVELOPMENT:
DEVELOPER/REPRESENTATIVE:
LOCATION OF DEVELOPMENT:
4
This is to verify that a deposit in the amount of $200 'has been received fort/^ning
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 00) 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.
SIGN RECEIVED BY
ATE SIG RECEIVED
THE ABOVE-MENTIONED ZONING CHANGE SIGN(S) HAS BEEN RETURNED IN
GOOD CONDITION TO THE PLANNING DEPARTMENT.
REFUND THE DEVELOPER'S DEPOSIT IN THE AMOUNT OF $�
l
vRETURNED BY
DAT SIG RETURNED
SIGN RECEIVED BY
FINANCE DEPT SEND REFUND CHECK TO:
�q �vaas , NLWIlk
$350 N- CVWVr k F X P 1A IS%;%+er �3oy
hAmD-5 , -rK y520c
J:\P&ZSTF\PZ Admin STF\MYStuff\Planning Stuff\Zoning Change Deposit Form.doc
BILLING CONTACT •
John Evans000 0 0
BLMA Ltd
8350 N. Central Expwy, Suite 1300 •• 0
Dallas, Tx 75206
Reference Number Fee Name Transaction Type Payment Method Amount Paid
TOTAL $200.00
January 05, 2018 �� 255 Parkway Boulevard, Coppell Texas 75019 Y¢aPage 1 of 1