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ApplicationFOR OFFICE USE ONLY CASE NO. � _A l DATE SUBMITTED f) )I�s1R� DESIGN DISTRICT BUILDING & SIGN REVIEW APPLICATION Design Review Board (Check one) NG -1 ❑ NG -2 ❑ NG -3 ❑ WPC ❑ Ov Staff Review O MINIMUM SUBMITTAL REQUIREMENTS Application completed in full. 200.00 Special District Application fee Ten (10) folded copies of facade details (including signage) with dimensions. (for Facades only) Ten (10) folded copies of sign details with dimensions. (for signs only) Color and material samples. If attached signage is proposed, provide ten (10) copies of a building elevation showing sign placement. Date of Preapplication Conference: NAME OF BUSINESS ADDRESS 3),q U n � u2 rS A = l LEGAL DESCRIPTION PRESENT USE OF PROPERT C. c PROPOSED USE OF PROPERTY 50,Mt APPLICANT'S INFORMATION: Name Sec c1 M i�Ch- � Street Address `- 1115 &C gW C_1Q : e City B fS.l 0.c1 State 'ale kCLS Zip Code E -Mail Address Phone Number PROPERTY OWNER'S INFORMATION: Name L: b ;o'S Street Address La s Ck %i ) L . City State Zip Code `1 �� D E -Mail Address Phone Number - ?5,5 Fax Number (979) a &a - 6/13/03 Page 1 of 2 DESCRIPTION OF PROPOSED EXTERIOR CHANGES ❑ ATTACHED SIGN ❑ Square Footage AND /OR FREESTANDING SIGN Square Footage All applications (except Overlay district applications) must be reviewed by the Design Review Board. Once a meeting is scheduled, the applicant will be notified of the date and time so that he can be present to discuss the proposal with the Board. The applicant has prepared this application and certifies that the facts stated herein and exhibits attached hereto are true and correct. Signature of Owner, Agent or Applicant 6/13/03 Date Page 2 of 2