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CITY OP COIj-IGr STATION
Home of Texas A&M Univesit),'
FOR OFFICE USE ONLY
CASE NO.: 14 + I
DATE SU ITTED:
TIME:
STAFF:
ADMINISTRATIVE ADJUSTMENT APPLICATION
MINIMUM SUBMITTAL REQUIREMENTS:
t� $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
NAME OF PROJECT C,15Te � (�GL"�j�jQ12 r C
ADDRESS Li V1 D
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LEGAL DESCRIPTION (Lot, Block, Subdivision) 4A'r Y�o �L-�C(�- { �EY�
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APPLICANT/PROJECT MANAGER'S INFORMATION (Primary contact for the project):
Name M W15 E-mail
Street Address -006o,CAW Cd u /L.T7
City CO LI.G O E S'�j �'/p� State _jam/[ S Zip Code ? ? F '{,57'
Phone Number 61-7 cl — (4 q Z — 660"0 Fax Number
PROPERTY OWNER'S INFORMATION (Please attach an additional sheet for multiple owners):
Name E-mail
Street Address _ `%O � CA1" l-9A,.Q ('dagT_
City CD a.� 2 67 STS p�N) State VRA 5 Zip Code -7 7 y SSS
Phone Number
Current zoning
Applicable Ordinance Section (check all that al
Residential Dimensional Standards
❑ Design District Dimensional Standards
Fax Number
IDC—nN
❑ Non -Residential Dimensional Standards
❑ Off -Street Parking Requirements
10/10 Page 1 of 2
A
ADMINISTRATIVE ADJUSTMENT REQUEST
1. The following specific adjustment (up to 10%) from the ordinance requirements is requested:
2-0
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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:
4. The granting of the adjustment will be consistent with the purpose and intent of the Unified Development Ordinance
because of the following:AL
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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.
Date
10/10 -nnf—term i Page 2 of 2