HomeMy WebLinkAboutApplication (12-171) 4C, FOR OFFICE E ON
DATE NO
DATE SUBMITTED: 2=110
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CITY OF COLLEGE STATION TIME: i
Home of Texas AdM University' STAFF: o
NORTHGATE BUILDING REVIEW APPLICATION
MINIMUM SUBMITTAL REQUIREMENTS:
�� $350 Non - Residential Architectural Standards / Northgate Building Review Application Fee.
Application completed in full. This application form provided by the City of College Station must be used
and may not be adjusted or altered. Please attach pages if additional information is provided.
❑ One (1) copy of building elevations to scale for all buildings, showing material and color applications.
❑ A list of building materials for all facades and screening.
[if Color samples for all buildings or list colors to be used from the approved color palette.
❑ The attached Northgate Building Review checklist with all items checked off or a brief explanation as to
why they are not checked off.
Date of Optional Preapplication Conference
NAME OF PROJECT OA !Q e l„,„...,c p to So C.1 fa) t 4409 +e..
ADDRESS I [ d ay? /13 c, MA
LEGAL DESCRIPTION (Lot, Block, Subdivision)
APPLICANT /PROJECT MANAGER'S INFORMATION (Primary contact for the project)
Name E 1jp )p • laity y
Street Address 2456,e3 Fo e p4 ) et)
City ain ko s.,1 ( State As< Zip Code 2 7 gi ab 7
Phone Number 7., /9 - ,G y $ Fax Number
PROPERTY OWNER'S INFORMATION: I�
Name f j -av k" E -mail _e ,_ I d._
Street Address - " _ -4 . A -coutt
City ki � _ - r1. ± ;1_ �tr�• State �,�(I Zip Code grg45
Phone Number ^- 2 1 h 1"['j 3 Fax Number IT 7- -‘124
ARCHITECT, ENGINEER, or OTHER CONTACT INFORMATION:
Name E -mail
Street Address
City State Zip Code _
Phone Number Fax Number
The applicant has prepared this application and certifies that the facts stated herein and exhibits attached hereto are true
and correct.
I nature and titl Date
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