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S-1167R3.ApplicationFiling Fee: $250 Name of Owner: Owner Address: Telephone Number: EMAIL: Firm Preparing Site Plan Package: Address: Telephone Number: EMAIL: Legal Description (lot, block, subdivision name): Property Address: 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. Property Owner’s Signature: Date: I hereby authorize this application to be submitted for the above described property. All Correspondence relative to this application should be directed to: Name: Address: Telephone Number: EMAIL: Administrative Approval Minor Site Plan Amendment Planning Department 265 Parkway Blvd. Coppell, Texas 75019 Phone: 972-304-3678 Fax: 972-304-3570 Filing Date: