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FOR OFFICE USE ONLY
CASE NO. - 5
.
DATE SUBM=D 4 .~3010c
CONDITIONAL USE PERMIT APPLICATION
(GENERAL)
Minimum Requirements
$150.00 application fee (or $75.00 for in-house child care - max. 7 children).
V Ten (10) copies of site plan which includes requirements for site plan proposals as listed on attached sheet. This
/ site plan will be reviewed by Staff, after which ten (10) copies of revised site plan will be required.
c/ Detailed explanation of proposed use including hours of operation, anticipated traffic, number of employees,
number of students, children, ages of children, church members, etc., as applicable.
t If sign is planned for project, site plan should include sign elevation and details. If sign details are not
included on plans submitted with this application, any future sign may have to be considered as a separate
conditional use permit and all of the above requirements must be repeated.
O Use Only Site Plan Oniv Q Site Plan and Use
Conditional Uses: (check one)
0 Community Buildings O Apartment Hotels (C-1)
O Convalescent Homes O Bed and Breakfasts (NG-3)
Q Hospitals O Convenience Store (C-B)
Q In Home Child Care O Dry Cleaners (C-B)
O Medial Clinics Q Duplexes (R-3)
O Municipal Service Facilities O Fraternity/Sorority Houses (R-5, R-6, C-1, C-2, NG-1, NG-2, NG-3, M-1)
O Nursing Homes Q Funeral Houses (C-N, M-1, M-2, A-P, C-1, C-2, C-3)
Q Parlc;n2 Lots Q Group Housing (R-5, R-6, C-1, C-2, NG-1, NG-2, NG-3)
O Pharmacies Q Large Recycling Collection Facilities (C-NG, A-P, C-1, C-2, C-33)
Q Public Libraries O Major WTF (AD, AP, M-l, R&D, C-l, C-2, C-3)
O Sanitariums Q Restaurants (C-3)
0 Telephone Exchange O Telecommunication Towers (A-0, A-P, M-1)
Q Veterinary Clinic O Other (Specify )
NAME OF PROJECT C~~°vb Yy~fli ~Z znSA(E ~Q,c~ ~~'t't _ ~AQ ~1(a' S-Y`~yP~~l~~rv~xTS
ADDRESS 1 Z U~1E~ s C~ 1.L2~ ~-c t c.~
LEGAL DESCRIPTION
APPLICANT (Primary Contact for the Project):
Name LNV1 C_ %eP 0rwU OP ty\tZr`i-?
S~ Address Z551 (K~C~S ~NK . ~y• , S-Y- City e.S .
Stag. -TX Zip Code 7-7S40 E-Mail Address rv1 a GS @ q~e Yl2'~
Phone Number (09(-5355 Fax Number (0° 3 -qZq 3
PROPERTY OWNER'S INFORMATION:
Stre-, Address l~l ~~F t ~N ~7 City
Staze ~C Zip code -7 Sy 0 E -Mail Address
Phone Number l21~ L? --5LPlO Fax Number GCO1 Z
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ARCHITECT OR ENGINEER'S INFORMATION:
Name ~M its A~aPU c rl~
Street Address City
State Zip Code E-Mail Address
Phone Number Fax Number
OTHER CONTACTS (Please specify type of contact, i.e. project manager, potential buyer, local contact, etc.)
Name
Street Address City
State Zip Code E-Mail Address
Phone Number Fax Number
PRESENT USE OF PROPERTY if V t i•Z-[ t~ PSCi t, ~'t ~~S PPc~-K~ ~C7 ut1
PROPOSED USE OF PROPERTY
CURRENT ZONING OF PROPERTY
VARIANCE(S) REQUESTED AND REASON(S)
NUMBER OF PARKING SPACES REQUIRED ti7
NUMBER OF PARKING SPACES PROVIDED COfk
Q RESIDENTIAL O COMMERCIAL
Total Acreage 5 , -7 Total Acreage Cj -7 o
Housing Units Building Sq. Ft. Ze , ootn,
Floodplain Acreage Q5
APPLICATION WILL NOT BE CONSIDERED COMPLETE WITHOUT THE FOLLOWING INFORMATION
ADDRESSED:
State how the following issues will be addressed:
1. Parking. n _
Jli~lc &1a VA
2 Screening of offensive areas (trash, loading areas, transformers, utility connections, detention ponds, etc.).
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CUPAGEN.DOC 03;25/99
3. `Traffic impacts.
4. Protection of neighborhoods. ,
W St'T C, 5 S f / J~C Q rC't To 65!,r/t WL1Z~~l-~ b Ukt.. eo pUTI `i
I erify that all of the information contained in this application is true and correct.
Si e , f Owner, Age or Applicant Date
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