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Application & ReceiptT H t• C I T Y• O R COPPELL %W"'IN ``�, sr;^` RECEIVED r 4t 9 � MAY 172017 ltd � D A Administrative Approval Minor Site Plan Amendment Filing Date: PLANNING DFot!,q--i�- Filing Fee: $250 Planning Department 265 Parkway Blvd. Coppell, Texas 75019 Phone: 972-304-3678 Fax: 972-304-3570 Name of Owner: 110 (,t�DSIDE GoPPE� GG %l y s►A� L?Er/ . Owner• Address: 3soa Av�u� . Sli►TK Telephone Number: Z1H x'35 , 2S'N3 EMAIL: �(,{ �6�Fl�u>@ LFocK,^p►Tot�ow�,Ccwt Firm Preparing Site Plan Package: 11AWF ASSMATIS Address: 3843 BIa1D , Slc►T� Telephone Number: Z1N. Z1?. (9yG3 EMAIL: All Correspondence relative to this appliCalion should be dire Name, �3�1 ) SATA6AS i #AwF AssmAns Address: 3$03 �/1t2KltaO'� Telephone Number: 21'7. (oyl�3 EMAIL: to: 'Tjr �SD'3 S� Legal Description (lot, block, subdivision name): C,P�.J.J�II. SX�466� �QDAITI�J , Ge'!Is � � 3 � a�� 1 Property Address: AL6 Lm -ww 6i2,JttA S�9�vAY LAA 9b PAj;7m TA? Present Zoning: Description of proposed Site Plan Amendment: ,Uwda ,lfa�►r�crmous %b i'A�'KIJ6 � GA,e1Dsc.lPl� � F�IuB�K REFER TO MINOR SITE PLAN AMENDMENT CHECKLIST FOR SUBMISSION REQUIREMENTS. NOTE: All applications, documents and drawing submitt ed to the Planning Department are subject to disclosure per the Texas Public Information Act. After final disposition, the complete file will be available at ww�y.eon elltx.gov as a public document. Fig I hereby authorize this application to be submitted for the above described property. Property Owner's Signature, Date: l� �nvoicy350 City of Coppell, Tx Admin Users 255 Parkway Blvd, Coppell, TX 75019 Coppell, Tx 75019 (972) 462-0022 Welcome 000360-0006 Ashley O. 05/18/2017 10:22AM ENERGOV INVOICE Satagaj, Brian (Halff Associates, Inc.) USE17-05-000153 2017 Item: INV -00003508 Balance due: 0.00 Balance unpaid: 0.00 Fee Charged for Special Use Permit - SUP Administr 250.00 Payment Id: 2711 Subtotal Total CHECK Check Number 220072 Change due -------------- 250.00 250.00 250.00 250.00 -------------- 0.00 Paid by: Satagaj, Brian (Halff Associates, Inc.) Thank you for your payment CUSTOMER COPY