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P&l CASE NO.S~ f:J.~
C fTY OF COLLEGE.. STATION
APPLI CATION FORM
SITE PLAN REVIEW
Date A\J~V~T2'7jldfE3+
, CIResidenti a 1
NAME OF PROJECT B20~C.lot On... Co"ve~u ENc:.e $E"VIC._ Commerc i a 1
LOCATION/LEGAL DESCRIPTION 1400 ~. re:vl'\-S Ave -C()L.\..Ste <;;~ON
$w Co i!1\l62. 0 P Jase'r It-No TS"".-$ AVENU~ -I...e:r<o"'.... t."rJ1i\CrtE::D
APPL/ CANT 'B-eoA-CHOH... CoMPI\'NIof .. "ENtJE'T'H B~t--t PHONE '=>9&-+540
ADDRESS t 7oot:::.'n.e A\lE NOli - $ Co I( ~e SJ'i1\'1'" lONT'I' '11840
,
OWNER B201tC1-\ Q'LaMP'rN~ PHONE &;.9'....i40S4o
ARCH /TECT OR ENGINEER JIt(.t:; W. CUMPTON iA<;~oc,~ PHONE fa4b-'3171
ADDRESS 4'0"5 .TE"'l~s. 1+\1. S 'B1t'f~1 Te,<:lt"i "7'7801
PRESENT USE OF PROPERTY S,1rS $Tlr'Tlo,,", ./Ct>.....VEfooJIE'Nc.e .<;iC:lilE"
CURRENTZONI NG OF PROPERTY C"'1
VARIANCE(S) REQUESTED ANDREASON(S)
blC>NE: ~EQlJ e"STt:..D
NUMBER OF PARK! NGSPAGES REQur RED
NUMBEROFPARKfNG SPACES PROVIDED
The applicant <certifies that the above information is true and correct.
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Signature or owner .or.agent .... or. app 1 kant
IF APPLICATION IS FILED BY ANYONE OTHER THAN THE OWNER. A POWER OF ATTORNEY STATEMENT
MUSTBEfNCLUDED.