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CITY OF COLLEGE STATION
Planning d' Development Services
FOR OFFICE USE ONLY
CASE NO.: --
DATE SUBMITTED:
I '(5
ADMINISTRATIVE ADJUSTMENT APPLICATION
MINIMUM SUBMITTAL REQUIREMENTS:
✓ Filing Fee of $40.00.
✓ Application completed in full.
Additional materials maybe required of the applicant such a si a plans, elevation drawings, sign details
and floor plans. The Zoning Official shall inform the applican y extra materials required.
Date of Preapplication Conference:
APPLICANT /PROJECT MANAGER'S INFORMATION (Primary Contact for the Project):
Name
Street Address city
State - tk Zip Code E -Mail Address c-.q rav -4 cex-- . 6004
Phone Number - 1 - 19 3 3
PROPERTY OWNER'S INFORMATION:
Fax Number 9/,k
Name l ?- e ` S k,1ra, '1- A00t'Cf_'
Street Address t2 .Ave,. City e S.
State - t - "c Zip Code - t E -Mail Address A,c
Phone Number C o q k Fax Number Nlk%
LOCATION OF PROPERTY:
Address 200
Lot Bloc
so
+ Subdivision
Description if there is no Lot, Block and Subdivision
Current Zoning of Subject Property:
Applicable Ordinance Section:
6/13/03 1 of 2
ADMINISTRATIVE ADJUSTMENT REQUEST
The following specific adjustment (up to 10 %) from the ordinance requirements is requested:
r2.' -69 " e.K. n� L .,..$ " #;& rem- 6"
we. a c�u res 2' �" ,.� cl� -�
This adjustment will not be contrary to the public interest by virtue of the following facts:
r e wGC'Do1 c.�•+�.��.�G... �c�oLa�i �aP�un.�¢,...
The granting of the adjustment will not materially or adversely affect adjacent land uses or the physical
character of the uses in the immediate vicinity because of the following:
LA4r I G b -46e r tr
The granting of the adjustment will be consistent with the purpose and intent of the Unified Development
Ordinance because of the following:
The applicant has prepared this application and certifies that the facts stated herein and exhibits attached
hereto are true, correct and complete.
Signature and Title
I'D A 1
Date'
6/13/03
2 of 2