ApplicationT H E • C I T Y - O F
COPPELL
Filing Date: $
Filing Fee: $250
Administrative Approval
Minor Site Plan Amendment
Planning Department
265 Parkway Blvd.
Coppell, Texas 75019
Phone: 972-304-3678
Fax: 972-304-3570
Name of Owner: 124T SVS Atrb1.0L L..1.4. % P&T JAW-PS-M.Wkt- !!r1U*S'r 1114
Owner Address: 5110 W.&P.AST %416%. to, 1,01% 29.0 pkaods Zg -15290
Telephone Number:gU- i13T-%fO EMAIL: V/1iuS• 4,ckim
Firm Preparing Site Plan Package: ft OSs Qe.S1(t1; &%*VP
Address:5 3 JrJ &gL V z% ' ft.%. Rb. jOAO
Telephone Number: r - 14 do EMAIL: 6s)r OSS po a.. nrab► . A Or
All Correspondence relative to this application should be directed to:
Name:
Address:
Telephone Number: EMAIL:
Legal Description (lot, block, subdivision name): WUaGk Z C4 rORK�1/$S� &ia1�wt;QLC
Property Address: Sas &1' 6o* C)I.l%*
Present Zoning: L
Description of proposed Site Plan Amendment: A PQ Ex i -T %W4 9 , §n O.A. pot?R. . ,A*.Lo P4 VttA(4
F*ac40fialac& , API D Naw 1Fat144d- se.tc�a4 kaT&s
REFER TO MINOR SITE PLAN AMENDMENT CHECKLLIST 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.
❑ I hereby authorize this application to be submitted for the above described property. p�
Property Owner's Signature: Date: 3 L 1