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Application & checkRevised: 6-17-87 **MUST RETURN ALL SIX PAGES OF THIS APPLICATION CITY OF COPPELL ZONING APPLICATION 214-462-0022 A: Requesting: Specific Use Permit B. .Description & Location of Property: 1. Survey & Abstract: 2. Addition Name (if applicable): 3. Lot & Block (if applicable): ~. Total Number of Acres: 5. Location further described: C s'r' o C. Zoning Requested: Present Zonin~ Proposed Zoning Dwelling Floor Area Classifi- Gross Net* Classifi- Gross Net* Units/Acre (Non-Resid. cation Area Area cation Acres Acres (Resid. Only) Uses Only) *Excludes ma3or & secondary thoroughfares. E. Fee: I (We) hereby certify that the application fee, $ ~t,5". OO , to cover the cost of this zoning application, has been paid to the City of Coppell on /O-/9 -o~ , 19~. Further, I (We) hereby authorize the City of Coppell and its employees, to enter 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. Date: /o-/?- ~? Owners Signature: Telephone Address: ~30~ /c~C~-~)$/0 g ~, -fi [1] / 'r m m ~ 0 -n ~'o