HomeMy WebLinkAboutApplication(*h
CI'T'Y OF COLLEGE STATION
Horne of Texas AdaM University`
ADMINISTRATIVE ADJUSTMENT APPLICATION
MINIMUM SUBMITTAL REQUIREMENTS:
$93 Administrative Adjustment 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.
❑ Additional materials may be required of the applicant such as site plans, elevation drawings, sign details
and floor plans. The Administrator shall inform the applicant of any extra materials required.
Date of Optional Preapplication Conference / A NAME OF PROJECT -F '<4 r - I e ,� X24 S' f _ — r 5 ;A I
ADDRESS y
— I
LEGAL DESCRIPTION (Lot, Block, Subdivision) L c4�
APPLICANT /PROJECT e, NAGER'S INFORMATION (Primary contact for the project):
�� Name �.,^ �t ►^ �� �� 2 r r E -mail C G � ^�� S�. e", n� #
Street Address Z 3 3 L'
City
State I k Zip Code 7 7 4 5-
Phone Number % `^7 SS - -/ I (a Fax Number - '1'75— To
PROPERTY OWNER'S INFORMATION (Please attach an additional sheet for multiple owners):
Name
Street Address
City
Phone Number
E -mail
State
Current zoning P
Applicable Ordinance Section (check all that apply):
[�J' Residential Dimensional Standards
❑ Design District Dimensional Standards
Fax Number
FOR OFFICE USE O LY
CASE NO.: , 3' a►
DATE SUBMITTED: Q. 13
TIME:
STAFF: yIL
Zip Code
❑ Non - Residential Dimensional Standards
❑ Off - Street Parking Requirements
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ADMINISTRATIVE ADJUSTMENT REQUEST
1. The followina snerifir nrik i0ment h in to i not i from 4hc nrrii --
2. This adjustment will not be contrary to the public interest by virtue of the following facts:
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3. 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:
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4. The granting of the adjustment will be consistent with the purpose and intent of the Unified Development Ordinance
because of the following:
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The applicant has prepared this application and certifies that the facts stated herein and exhibits attached hereto are true,
correct, and complete. IF THIS APPLICATION IS FILED BY ANYONE OTHER THAN THE OWNER OF THE
PROPERTY, this application must be accompanied by a power of attorney statement from the owner. If there is more
than one owner, all owners must sign the application or the power of attorney. If the owner is a company, the application
must be accompanied by proof of authority for the company's representative to sign the application on its behalf.
Signature and title
/C. Z /
Date
10/10 1 prix& prtYS , Page 2 of 2