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Application & checkRevised: 6-17 ~7 **MUST RETURN ALL SIX PAGES OF THIS APPLICATION A: Requesting: 1. 2. 3. 4. 5. CITY OF COPPELL ZONING APPLICATION 214-462-0022 Specific Use Permit [ ] Description & Location of Property: Survey & Abstract: Addition Name (if applicable): Lot & Block (if applicable): Total Number of Acres: Location further described: ~ :~'~ ~ C. Zoning Requested: Present Zoning Proposed Zonin~ Dwelling Floor Area Classifi- Gross Net* Classifi- Gross Net* Units/Acre (Non-Resid. cation Area Area cation Acres Acres (Resid.Only) Uses Only) ZZ *Excludes major & ;econdary thoroughfares. D. Reason(s) for Zoning Change (please be specific): E. Fee! ~ ....... he a--lication fee, $ ~)~"~, to cover the cost I We) hereby certify tna~ n p~ ~ ,^ ( s zonin a lication, has been paid to the City of Coppell on .~_~~, of thi g PP ............ ~ ~t" of Connell and its em~loyees, to 19~Z · Further I (We~ hereby au~no~ ~ ..... ~ ~ . ~ .... ~ en~ upon the 'premises herein above described at all reasonable times for the purpose of erecting, maintaining, or removing signs to notify the public of the pending zoning application and/or public hearing concerning said application. I (We) release the City of Coppell and its employees from liability for any damages which may be incurred to my (our) property in the erecting, maintaing, or removal of said signs. [1~] CASH RECEIPT Received From. ~~! Address__ m n ACCOUNT ~ c~ 8 A~T. OF ACCOUNT AMT. PAID BALANCE DUE 00~503~ Dollars CHE¢~ MONEY ORDER J