Application & checkRevised: 6-17 ~7
**MUST RETURN ALL SIX
PAGES OF THIS APPLICATION
CITY OF COPPELL
ZONING APPLICATION
214-462-0022
A: R~questin~:
Description & Location of Property:
1. Survey & Abstract: ~~ ~/
2. Addition Name (if applicable):
3. Lot & Block (if applicable):
4. Total Number of Acres: ~
5. Location further described:
Specific Use Permit [ ]
Present Zonins ~,-~ 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)
*Excludes major & secondary thoroughfares.
D. Reason(s) for Zoning Change (please be specific):
E. Fee:
I (We) hereby certify that the application fee, $ -~.o~ , to cover the cost
of this zoning application, has been paid to the City of Coppell on ~-g ~ ,
19~. Further, I (We) hereby authorize the City of Coppell and t~s 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.
Owners Signature: ~ _ /
Telephone ~: ~z¥ ~ ~. ~'
Owners Name:
RECEIPT Dote6,-~ ,9 ?'-/ 0022324
Jec®ived From ~"x. ~ ~
-- Address
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~T. PA~ CH~