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Application (14-170) FOR OFFICE USE ONLY Grff1444 CASENO.: lq - 1-10 DATE SUBMITTED: 1Y1 l O i J I t-f CITY OF COLLEGE STATION TIME: -2:00 flame of Texas A&M University" STAFF: 1f,,cv NORTHGATE BUILDING REVIEW APPLICATION MINIMUM SUBMITTAL REQUIREMENTS: $350 Non-Residential Architectural Standards/Northgate Building Review Application Fee. V 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. 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 D NAME OF PROJECT A-fri l oh : o6 riZ?tea ADDRESS d 04 Cp t 1 QGe, ov; Y, LEGAL DESCRIPTION (Lot, Block,(Subdivision) APPLICANT/PROJECT MANAGER'S INFORMATION (Primary contact for the project): Name Co Al2.rp OD ptcerbs - (On ti4-'t, E-mail cl0IAe;.0 KC f`c2T4CS.Co.`Y) Street Address 1[2 60 l �' (4,v, �I-• City E0 1,1.e... .2._G, '�.+Sc LyN State Ts4 Zip Code *--7-2 0 4--- Phone Number 1J `tea, LI Z-044 ( Fax Number PROPERTY OWNER'S INFORMATION: Name E-mail Street Address City State Zip Code Phone Number Fax Number ARCHITECT, ENGINEER, or OTHER CONTACT INFORMATION: Name E-mail Street Address City State Zip Code Phone Number Fax Number The applicant has prepared this application and certifies that the facts stated herein and exhibits attached hereto are true and rrect. Ceti twner '7r t— zoi4 Sig ure and title Date 10/10 Page 1 of 2