HomeMy WebLinkAboutHL2007-05JUN 1 8 (",001
1.La-7-1)S
CITY OF GRAPEVINE
HISTORIC LANDMARK SUBDISTRICT APPLICATION
1. *72- 1 C-AA,-,zS-> -J�czvi j;�
APPLICANT/AGENT NAME
COMPANY NAME
ADDRESS 74 7171�.LL- Qh,14:z;.
CITY/STATE/ZIP 4aL-L(--(Z, ® 7-724- 7 CMZ. 4
WORK PHONE FAX NUMBER 3,37, 4g5Z
2. APPLICANT'S INTEREST IN SUBJECT PROPERTY
3. PROPERTY OWNER(S) NAME 6it.11-t:L, �-
CITY/STATE/ZIP
NY*] FM N 0 101119
O. I k I �0..- I
4. ADDRESS OF PROPERTY FOR HISTORIC LANDMARK DESIGNATION
SIZE OF SUBJECT PROPERTY 0.3 ACRES
5. PRESENT ZONING CLASSIFICATION : 5 -�
6. PRESENT USE OF PROPERTY )-A c0%,-4 c-
ION
SQUARE FEET
0:\ZCU\F0RMS\APPHlST 1/06
www.ci.grapevine.tx.us
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7. SIGNATURE TO AUTHORIZE A ZONE CHANGE REQUEST AND PLACING A HISTORICAL
LANDMARK SUBDISTRICT REQUEST SIGN ON THE SUBJECT PROPERTY.
THE DEVELOPMENT SERVICES STAFF WILL DETERMINE THE AGENDA FOR EACH OF THE
PUBLIC HEARING DATES. BASED ON THE SIZE OF THE AGENDA YOUR APPLICATION MAY BE
RESCHEDULED TO A LATER DATE.
APPLICANT (PRINT)
APPLICANT SIGNATURE
OWNER (PRINT)
OWNER SIGNATURE
The State of
r
0AZCU\F0RMS\APPHIST 1/06
www.ci.grapevine.tx.us
VUN 1 8 2007
County of I y%,4 --
Before me on this day personally appeared
known to me (or proved to me on the oath of
or through 't,7jc 0. L__ (description of
identity card or other document) to be the person whose name is subscribed to the foregoing instrument
and acknowledged to me that he executed the same for the purposes and consideration therein
expressed.
Given under my hand and seal of office this ff�— day of Lel K -f_ , A.D.
st ..Notary Signature
The State of
County of
Before me on this day personally appeared
known to me (or proved to me on the oath of
or through (description of
identity card or other document) to be the person whose name is subscribed to the foregoing instrument
and acknowledged to me that he executed the same for the purposes and consideration therein
expressed.
Given under my hand and seal of office this
SEAL
O:\ZCU\FORMS\APPHIST
wwwxi.grapevine.kus
day of , A.D
Notary Signature
1/06