XO Marriage Center_ Site Plan Development Application-3 29 2021
CONCEPT PLAN / SITE PLAN / DEVELOPMENT PLAN APPLICATION
Department of Planning & Development Services, 1400 Main Street, Suite 310, Southlake, TX 76092
Phone: (817) 748-8621 Fax: (817) 748-8077
Website: www.cityofsouthlake.com
Type of Plan Concept Plan Site Plan Development Plan
Title of Plan
Subdivision Name Lot(s) Block(s)
Survey Name(s) Abstract No.(s) Tract(s)
Address/Location
Current Zoning If more than one zoning district, list all here
Requested Zoning
Applicant
Acres or Sq. Ft. SPIN Meeting Date
Owner (attach additional sheets if necessary)
Company Company
Contact Contact
Address Address
Telephone Telephone
Fax Fax
Email* Email*
Main Contact for Project Phone
Email* Fax
*Email should only be provided if you consent to your email address becoming a part of public record.
Note: Properties within the Corridor Overlay Zone are required to meet building materials standards or request a variance. As of
September 1, 2019, for other properties not determined to be in the Corridor Overlay Zone, building materials requirements do n ot
apply (HB 2439, 86th Texas Legislative Session).
I hereby certify that this application is in conformance with the requirements of the Zoning Ordinance No. 480, as amended and other
ordinances, maps, and codes of the City of Southlake that pertain to this submittal. I understand that it is my responsibility to have the
Applicant, Owner or other authorized agent present at the Planning and Zoning Commission and City Council meetings. Should an
authorized person not be at the meeting to represent the application, I hereby request that consideration of the item be continued to a
future date to allow an authorized person the opportunity to appear and present testimony. However I do understand that the City is not
obligated to continue this request. I further understand that this request will be placed on the appropriate Planning & Zoning
Commission and City Council agendas in accordance with the limitations of Resolution No. 97-22.
Signature of Applicant, Owner, or Authorized Agent Date
Printed Name
ITEMS REQUIRED WITH SUBMITTAL
The items listed in the Submittal Guidelines & Requirements must be received no later than 5:00 PM on the submittal deadline
(refer to schedule) and are required to qualify as an adequate submittal. Upon determination of its inadequacy, the submittal will not
be accepted and will be promptly returned to the applicant. For Pre-Submittals please submit 7 copies of all items, unless
otherwise noted. For Formal Submittals, please submit 27 copies of all items, unless otherwise noted. Blueprints should be 24”
by 36” and folded 12” by 9”. One 11" by 17" reduction and a digital pdf format file of each plan is required with all submittals.
Revised August 2019