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CITY OF, COLLEGE STATION
Home of Texas A&M University`
FOR OFFICE USE ONL
CASE NO.:
DATE SUBMITTED: 1
TIME: �-
STAFF:
ADMINISTRATIVE ADJUSTMENT APPLICATION
MINIMUM SUBMITTAL REQUIREMENTS:
V$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 (DOc �ecy,r)
ADDRESS 600\ pec\tof\
LEGAL DESCRIPTION (Lot, Block, Subdivision)
IOC1, � • 1'cb,
APPLICANT/PROJECT MANAGER'S INFORMATION (Primary contact for the project):
Name b\65 vn E-mail GnC�6 0,'6eJe-���`�Q(YIO�Y�•Ca'�
Street Address 3 (600. 04 C0\de0e94
-
City State t� Zip Code
Phone Number Fax Number WkT� 36t3 -00Z-)
PROPERTY OWNER'S
Name
Street Address
IRMATION (Please attach tan additional sheet for multiple owners):
�l�h 40-of—A E-mail ��s�n4P ��dirfl���•Gor'1
e-., CZ A
City g\S�' 0.<\ State _T_X Zip Code 71 D
Phone Number Zg10- 2\3\ Fax Number alq� 360 QO
Current zoning ��- 1 ►J
Applicable Ordinance Section (check all that apply):
FeResidential Dimensional Standards ❑ Non -Residential Dimensional Standards
❑ Design District Dimensional Standards
❑ Off -Street Parking Requirements
10/10 Page 1 of 2
ADMINISTRATIVE ADJUSTMENT REQUEST
1. The following specific adjustment (up to 10%) from the ordinance requirements is requested:
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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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