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ApplicationCASEN • 1>P-\\i\~~l\Li>5 ~ U~e aNur DEVELOPMENT PERMIT FOR Om• DATE SUBM11TE -:.----...... ,,51 MINIMUM SUBMI'IT1t REQUIRE~NTS :; / $100.00 Development Permit Application Fee. -~@ Pl).J~t ( 4 k._c;.f _ tee_ ' fJ/ tr Drainage and erosion control plan, with supporting Drainage Report two (2) copies each. ~Notice of Intent (N.0.1.) if disturbed area is greater than 5 acres. APPLICANT (Primary Contact for the Project): Name fl.1,}c...~ c.. // ~ H ~vc,~;.J . ll-f I I ' Street Address '.>I/ U,,i ; Je.r;; +y D.,-. £,:HI State TX Zip Code 77g '/-() Phone Number 171 2-" o ~'i 6 3 PROPER1Y OWNER'S INFORMATION: E-Mail Address Fax.Number ?7? 2-G:>o Name M c1)o,..J+/d 15 ~rp o yA.+:0,.1 (uaL A-1'9'\dor) Street Address 37 o? F l'-f I ~ (, 0 W EJT .5"' 1 TE 'J o o City __ H_"'_"l_~_+._--"'--------- State IX Zip Code 77 a Co S E-Mail Address ------------ Phone Number 28/ -~Sl -73a7 Fax.Number 2._BI -5"S7 -Co7Z2.. ----------------- ARCIIlTECT OR ENGINEER'S INFORMATION: Name .S .,-M £ 4-s -+pr f ; CJ'r7'J+ Street Address ----------------City ------------- State Zip Code -----E-Mail Address ------------ Phone Number Fax Number ------------------------'----- Application is hereby made for the following development specific site/waterway alterations: 08 l.f -fa'' w ~f~ f ;AJ e -f-a v-.11_ ,A-fC'i).,., .. nt-J '~ /oc.+-fed I / ACKNOWLEDGMENTS: I. ~fr,q,,; ~ T . design engineer/owner, hereby acknowledge or affinn that: The infonnation aD:~~ u:s contained in the above plans and supporting documents comply with the current ents of the City of College Station, Texas City Code, Chapter 13 and its associated Drainage Policy and De5ign rds. ndition of approval of this permit application, I agree to construct the improvements proposed in this application · g to th nts and the requirements of Chapter 13 of the College Station City Code. U)\{ ~EVE{QPMENT PERMIT DPERMIT.OOc 3/'24199 Contractor 1 of2 CERTIFICATIONS: (for proposed alterations within designated flood hazard areas.) ----------~ certify that any nonresidential structure on or proposed to be on this site as part ·s designated to prevent damage to the structure or its contents as a result of flooding from the 100 year .·mn. ~ Engineer Date B. I, certify that the finished floor elevation of the lowest floor, including any basement, of any residential structure, oposed as part of this application is at or above the base flood elevation established in the latest Federal Insurance Administra ·on Flood Hazard fo):udy and maps, as amended. &~ ~~ Jt C. ~ .s!-that the terations or development covered by this permit shall not diminish the flood-carrying capacjty of the waterway adjoinin or crossing this permitted site and that such alterations or development are consistent with requirements of the City of Coll e Station City Code, Chapter 13 concerning encroacbmeots of floodways and of floodway fringes. Engineer Date I, do certify that the proposed alterations do ot raise the level of the I 00 year . '---.dood above elevation established in the latest Federal Insurance Administration Flood d Study. Engineer Date Conditions or comments as part of approval:------------------------- In accordance with Chapter 13 of the Code of Ordinances of the City of College Station, measures shall be taken to insure that debris from construction, erosion, and sedimentation shall not be deposited in city streets, or existing drainage facilities. All development shall be in accordance with the plans and specifications submitted to and approved by the City Engineer for the above named project. All of the applicable codes and ordinances of the City of College Statioq shall apply. ~EVELOPMENT PERMIT DPERMIT.DOC 3124199 2of2