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Crry OP COLLEGE STATION
Home of Texas Ad M University"
FOR OFFICE USE ONL�C
CASE NO.: 1H II
DATE SUBMITTED: � � l
TIME: 3 Qa
STAFF:
NORTHGATE BUILDING REVIEW APPLICATION
�Y J X2 MINIMUM SUBMITTAL REQUIREMENTS:
on -Residential Architectural Standards / Northgate Building Review Application Fee.
❑ pplication 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.
❑ 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 ,y0 (•�'Yl laic 5�.� c� �� c '��
ADDRESS ak S I BSc
LEGAL DESCRIPTION (Lot, Block, Subdivision) (o -c 4*_ 5e, --- kA cin g bU,-
APPLICANT/PROJECT MANAGER'S INFORMATION (Primary contact for the project):
Name
' - j f _ E-mail L6sit C_►���-VV�Gt�t�' wy—
Street Address
City
State } Zip Code `7� 19' -ti'
Phone Number 410 Fax Number 9f 7q 7 7& - ZZ.ZS_
PROPERTY OWNER'S INFORMATION:
Name
E-mail
Street Address 2 4 6'3 _ 'Coa rot v
City State A. State Zip Code
Phone Number q?, 2'Z- $2 SS Fax Number
ARCHITECT, ENGINEER, or OTHER CONTACT INFORMATION
Name KjI) )S( -&S(k--)(,-,er E-mail
Street Addressj�_
City State Zip Code --7-7
Phone Number 9-1q Fax Number
The applicant has prepared this application and certifies that the facts stated herein and exhibits attached hereto are true
anecorn
7- /7Siand title Date
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