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Item 4E - Exhibits 19 CITY OF OUTHLAKE Zoning and Development Application This application form and all materials from the associated checklist are required for an adequate application. Fees are payable and due upon receipt of invoice. Email form and all associated materials to PlanningSubmi ttalCati,southlake,tx,us APPLICATION TYPE PROJECT • • • C)Zoning(Typically accompanied by a Project Name: concept plan,development plan,orsite plan) Project Address(or nearest cross street): 0 Concept Plan 0Development Plan Legal Description: 0Site Plan ®Specific use Permit Total Acreage: Plats: ®Plat Showing Existing Zoning: Preliminary Plat Proposed Zoning or Request(if applicable): 0Final Plat Plat Revision ®Amended Plat APPLICANT INFORMATION Applicant Name: Company Name: Mailing Address: City: State: ZIP: Phone: Email: Applicant's Signature: PROPERTYOWNER INFORMATION Property Owner Name: Company Name: Mailing Address: City: State: ZIP: Phone: Email: CONTACTMAIN • • PROJECT Name: Phone: Email: Planning and Development Services Department,1400 Main Street,Suite 310 Southlake,Texas 76092, (817)748-8621 • www.cityofsouthlake.com Page is too large to OCR. Page is too large to OCR. Page is too large to OCR. Page is too large to OCR.