2007-03-08 P&Z Meeting
S
PLANNING AND ZONING COMMISSION MEETING: March 8, 2007
LOCATION: 1400 Main Street, Southlake, Texas
City Council Chambers of City Hall
WORK SESSION: 5:30 P.M.
1. Discussion of Sidewalk Plan
2. Discussion of all items on tonight's meeting agenda.
EXECUTIVE SESSION: If a need arises to seek the advice from the City Attorney as to the
posted subject matter of this Planning and Zoning Commission meeting, the issues or matters will
be discussed in executive session.
1. Pursuant to Section 551.071, Texas Government Code, the Commission may meet in
executive session to consult with the City Attorney regarding matters authorized by Section
551.071, including matters posted on this agenda.
a. Seek advice of the city attorney regarding the Master Thoroughfare Plan.
2. Reconvene: Action necessary on items discussed in executive session.
REGULAR SESSION: 6:30 P.M. or immediately following the work session
1. Call to Order.
2. Approval of the minutes of the Planning and Zoning Commission meeting held on February
22, 2007.
3. Administrative Comments
CONSENT AGENDA:
4. Consent: ZA06-174, ZONING CHANGE AND SITE PLAN FOR ST. JOHN'S BAPTIST
CHURCH located at 900 S. Kimball Avenue, Southlake, Texas. The current
zoning is "I-1" Light Industrial District. The requested zoning is "CS" Community
Service District. SPIN Neighborhood # 7.
THE APPLICANT HAS REQUESTED TO TABLE THIS ITEM UNTIL
THE REGULAR PLANNING AND ZONING COMMISSION MEETING
ON MARCH 22, 2007.
5. Consent: ZA06-063, ZONING CHANGE AND SITE PLAN FOR SUNRISE ASSISTED
LIVING AND MENDEZ PROFESSIONAL OFFICES located at 918 & 1050 E.
Southlake Blvd. and 240 N. Carroll Avenue, Southlake, Texas. The current zoning
is "AG" Agricultural District and "SF-IA" Single Family Residential District. The
requested zoning is "S-P-1" Detailed Site Plan District. SPIN Neighborhood # 10.
THE APPLICANT HAS REQUESTED TO TABLE THIS ITEM UNTIL
PLANNING AND ZONING COMMISSION AGENDA
March 8, 2007
PAGE 2
THE REGULAR PLANNING AND ZONING COMMISSION MEETING
ON APRIL 19, 2007.
6. Consent: ZA06-064, ZONING CHANGE AND CONCEPT PLAN FOR MENDEZ #2
ADDITION, being the northwest portion of the property located at 918 E. Southlake
Blvd. and being located approximately 465' north of E. Southlake Blvd. and at the
end of Cross Lane, Southlake, Texas. The current zoning is "AG" Agricultural
District. The requested zoning is "SF-20A" Single Family Residential District. SPIN
Neighborhood # 10.
THE APPLICANT HAS REQUESTED TO TABLE THIS ITEM UNTIL
THE REGULAR PLANNING AND ZONING COMMISSION MEETING
ON APRIL 19, 2007.
7. Consent: ZA07-005, ZONING CHANGE AND CONCEPT PLAN FOR CHAPEL
CROSSING SHOPPING CENTER, located at 245 W. State Highway 114 and
200 Countryside Court, Southlake, Texas. The current zoning is "AG"
Agricultural District and "C-1" Neighborhood Commercial District. The
requested zoning is "S-P-2" Generalized Site Plan District. SPIN Neighborhood
# 11.
THE APPLICANT HAS REQUESTED TO TABLE THIS ITEM UNTIL
THE REGULAR PLANNING AND ZONING COMMISSION MEETING
ON MARCH 22, 2007.
REGULAR AGENDA:
8. Consider: ZA07-023, PLAT REVISION FOR BLOCK 3R2, SOUTHLAKE TOWN
SQUARE, located on the northwest corner of Main Street and State Street,
Southlake, Texas. The current zoning is "DT" Downtown District. SPIN
Neighborhood # 8.
PUBLIC HEARING
9. Consider: ZA06-132, PRELIMINARY PLAT FOR ESTANCIA AT SOUTHLAKE, located
at 579 N. Kimball Avenue, Southlake, Texas. The current zoning is "R-PUD"
Residential Planned Unit Development District. SPIN Neighborhood # 6.
PUBLIC HEARING
10. Consider: ZA07-004, ZONING CHANGE AND CONCEPT PLAN FOR IMAGE
BUSINESS PARK, located at 2301 Crooked Lane, Southlake, Texas. The current
zoning is "S-P-2" Generalized Site Plan District. The requested zoning is "S-P-2"
Generalized Site Plan District. SPIN Neighborhood # 7.
PUBLIC HEARING
11. Consider: ZA07-013, ZONING CHANGE AND CONCEPT PLAN FOR NOLEN
CENTER, located at 2627 E. Southlake, Boulevard, Southlake, Texas. The
PLANNING AND ZONING COMMISSION AGENDA
March 8, 2007
PAGE3
current zoning is "AG" Agricultural District. The requested zoning is "S-P-1"
Detailed Site Plan District. SPIN Neighborhood # 7.
PUBLIC HEARING
12. Consider: ZA06-182, PLAT SHOWING FOR LOTS 6 & 7, T. EASTER NO. 474
ADDITION, located at 2627 E. Southlake, Boulevard, Southlake, Texas. The
current zoning is "AG" Agricultural District. The proposed zoning is "S-P-1"
Detailed Site Plan District. SPIN Neighborhood # 7.
PUBLIC HEARING
13. Consider: ZA07-017, PLAT REVISION FOR LOTS 1R1 & IR2, BLOCK C,
BRIARWOOD ESTATES, PHASE I, located at 400 Briarwood Drive, Southlake,
Texas. The current zoning is "MF-1" Two Family Residential District. SPIN
Neighborhood # 6.
PUBLIC HEARING
14. Consider: ZA07-025, PLAT REVISION FOR LOTS lRl & 1R2, 2R, 4R1, 4R2, & 4R3,
BLOCK I, SABRE GROUP CAMPUS, being a revision of Lots 1, 2, & 4, Block
1, Sabre Group Campus, located at Kirkwood Boulevard & State Highway 114,
Southlake, Texas. The current zoning is "NR-PUD" Non-Residential Planned
Unit Development District. SPIN Neighborhood # 2.
PUBLIC HEARING
15. Discussion: Southlake Development Excellence Awards
16. Consider: MEETING ADJOURNMENT
CERTIFICATE
I hereby certify that the above agenda was posted on the official bulletin boards at Town Hall, 1400
Main Street, Southlake, Texas, on Friday, March 2, 2007, by 6:00 p.m., pursuant to the Texas
Government Code Chapter 551.
,'."OUTH(
+ ••i
a°
ri Farwell, TRMC = ~
City Secretary U rte,
If you plan to attend this public meetir g,g~*& -hayo,? disability that requires special needs, please
advise the City Secretary 48 hours in advance at 817-748-8016, and reasonable accommodations
will be made to assist you.
I REGULAR PLANNING AND ZONING
2 COMMISSION MEETING MINUTES
3 March 8, 2007
4
5 COMMISSIONERS PRESENT: Chairman Al Morin, Vice Chairman Brandon Bledsoe and
6 Commissioners, Jeff Wang, Robert Hudson, Darrell Faglie, and Michael Springer.
7
8 COMMISSIONERS ABSENT: CD Peebles
9
10 CITY STAFF PRESENT: Dennis Killough, Chief Planner; April Virnig, City Attorney; Ben Bryner,
11 Senior Planner; Gordon Mayer, City Engineer; Cheryl Taylor, Civil Engineer; and Lorrie Fletcher,
12 Administrative Secretary.
13
14 Chairman Morin called the regular meeting to order at 6:33 p.m.
15
16
17 AGENDA ITEM # 2, APPROVAL OF MINUTES:
18 Chairman Morin opened discussion of the minutes of the Planning and Zoning Commission meeting
19 held on February 22, 2007.
20
21 Motion was made to approve the minutes of the Planning and Zoning Commission meeting held on
22 February 22, 2007, as presented.
23
24 Motion: Bledsoe
25 Second: Hudson
26 Ayes: Wang, Hudson, Bledsoe, Faglie, Morin
27 Nays: None
28 Abstain: Springer
29 Approved: 5-0-1
30 Motion carried.
31
32
33 AGENDA ITEM # 3, ADMINISTRATIVE COMMENTS:
34
35 Chief Planner Dennis Killough announced the city wide SPIN meeting scheduled to discuss the
36 Sidewalk Plan for March 12, 2007.
37
38 Chairman Morin called for an Executive Session pursuant to the Texas Government Code, Section
39 551.071, Consultation with attorney. Executive Session began at 6:35 p.m. and ended at 6:54 p.m.
40 Chairman Morin called the meeting back to order at 6:56 p.m. and asked if there was any action
41 necessary from the Executive Session. No action was necessary.
42
43 Chairman Morin announced the consent agenda items and added item 12 to table at the applicant's
44 request. The Commission agreed.
Planning and Zoning Commission Meeting Minutes on March 8, 2007. 1
I CONSENT AGENDA ITEM # 4 ZA06-174 ZONING CHANGE AND SITE PLAN FOR ST.
2 JOHN'S BAPTIST CHURCH:
3 The property is located at 900 S. Kimball Avenue, Southlake, Texas. The current zoning is "I-1"
4 Light Industrial District. The requested zoning is "CS" Community Service District. SPIN
5 Neighborhood # 7.
6 THE APPLICANT HAS REQUESTED TO TABLE THIS ITEM UNTIL THE REGULAR
7 PLANNING AND ZONING COMMISSION MEETING ON MARCH 22, 2007.
8
9 CONSENT AGENDA ITEM # 5 ZA06-063 ZONING CHANGE AND SITE PLAN FOR
10 SUNRISE ASSISTED LIVING AND MENDEZ PROFESSIONAL OFFICES:
11 The property is located at 918 & 1050 E. Southlake Blvd. and 240 N. Carroll Avenue, Southlake,
12 Texas. The current zoning is "AG" Agricultural District and "SF-IA" Single Family Residential
13 District. The requested zoning is "S-P-1" Detailed Site Plan District. SPIN Neighborhood # 10.
14 THE APPLICANT HAS REQUESTED TO TABLE THIS ITEM UNTIL THE REGULAR
15 PLANNING AND ZONING COMMISSION MEETING ON APRIL 19, 2007.
16
17 CONSENT AGENDA ITEM # 6 ZA06-064 ZONING CHANGE AND CONCEPT PLAN FOR
18 MENDEZ #2 ADDITION:
19 The property being the northwest portion of the property located at 918 E. Southlake Blvd. and being
20 located approximately 465' north of E. Southlake Blvd. and at the end of Cross Lane, Southlake,
21 Texas. The current zoning is "AG" Agricultural District. The requested zoning is "SF-20A" Single
22 Family Residential District. SPIN Neighborhood # 10.
23 THE APPLICANT HAS REQUESTED TO TABLE THIS ITEM UNTIL THE REGULAR
24 PLANNING AND ZONING COMMISSION MEETING ON APRIL 19, 2007.
25
26 CONSENT AGENDA ITEM # 7 ZA07-005 ZONING CHANGE AND CONCEPT PLAN FOR
27 CHAPEL CROSSING SHOPPING CENTER:
28 The property is located at 245 W. State Highway 114 and 200 Countryside Court, Southlake, Texas.
29 The current zoning is "AG" Agricultural District and "C-1"Neighborhood Commercial District. The
30 requested zoning is "S-P-2" Generalized Site Plan District. SPIN Neighborhood # 11.
31 THE APPLICANT HAS REQUESTED TO TABLE THIS ITEM UNTIL THE REGULAR
32 PLANNING AND ZONING COMMISSION MEETING ON MARCH 22, 2007.
33
34 AGENDA ITEM # 12, ZA06-182 PLAT SHOWING FOR LOTS 6 & 7 T. EASTER NO. 474
35 ADDITION:
36 The property is located at 2627 E. Southlake, Boulevard, Southlake, Texas. The current zoning is
37 "AG" Agricultural District. The proposed zoning is "S-P-1" Detailed Site Plan District. SPIN
38 Neighborhood # 7.
39 THE APPLICANT HAS REQUESTED TO TABLE THIS ITEM UNTIL FURTHER NOTICE.
40
41 Motion was made to approve the Consent Agenda as presented.
42
43 Motion: Bledsoe
44 Second: Faglie
Planning and Zoning Commission Meeting Minutes on March 8, 2007. 2
I Ayes: Wang, Hudson, Bledsoe, Faglie, Springer, Morin
2 Nays: None
3 Approved: 6-0
4 Motion carried.
5
6
7 AGENDA ITEM # 8, ZA07-023, PLAT REVISION FOR BLOCK 3R2 SOUTHLAKE TOWN
8 SQUARE:
9 Senior Planner Ben Bryner presented this item to the Commission for a plat revision. The property is
10 located on the northwest corner of Main Street and State Street, Southlake, Texas. The current
11 zoning is "DT" Downtown District. SPIN Neighborhood # 8. The Owner/Applicant is SLTS Grand
12 Avenue L.P.
13
14 Sandy Spurgin, Cooper & Stebbins, presented this item to the Commission.
15
16 Chairman Morin opened the public hearing.
17
18 No one from the audience came forward to speak.
19
20 Chainnan Morin closed the public hearing and called for discussion.
21
22 Motion was made to approve ZA07-023, subject to Plat Review Summary No. 1, dated March 2,
23 2007.
24
25 Motion: Bledsoe
26 Second: Hudson
27 Ayes: Wang, Hudson, Bledsoe, Faglie, Springer, Morin
28 Nays: None
29 Approved: 6-0
30 Motion carried.
31
32
33 AGENDA ITEM # 9 ZA06-132 PRELIMINARY PLAT FOR ESTANCIA AT SOUTHLAKE:
34 Senior Planner Ben Bryner presented this item to the Commission for a preliminary plat. The
35 property is located at 579 N. Kimball Avenue, Southlake, Texas. The current zoning is "R-PUD"
36 Residential Planned Unit Development District. SPIN Neighborhood # 6. The Owner is Ernest E.
37 Taylor. The Applicant is Tejas Capital Partners.
38
39 Dan Mcinnis, Mcinnis Land Consultants, presented this item to the Commission.
40
41 Chainnan Morin opened the public hearing.
42
43 No one from the audience came forward to speak.
44
Planning and Zoning Commission Meeting Minutes on March 8, 2007. 3
I Chairman Morin closed the public hearing and called for discussion.
2
3 Motion was made to approve ZA06-132, subject to Preliminary Plat Review Summary No. 3, dated
4 March 2, 2007.
5
6 Motion: Bledsoe
7 Second: Faglie
8 Ayes: Wang, Hudson, Bledsoe, Faglie, Springer, Morin
9 Nays: None
10 Approved: 6-0
11 Motion carried.
12
13
14 Commission Wang recused himself from the next item due to a conflict of interest. An affidavit has
15 been completed and will be filed with the City Secretary's office.
16
17 AGENDA ITEM # 10, ZA07-004, ZONING CHANGE AND CONCEPT PLAN FOR IMAGE
18 BUSINESS PARK:
19 Senior Planner Ben Bryner presented this item to the Commission for a zoning change and concept
20 plan. The property is located at 2301 Crooked Lane, Southlake, Texas. The current zoning is "S-P-2"
21 Generalized Site Plan District. The requested zoning is "S-P-2" Generalized Site Plan District. SPIN
22 Neighborhood # 7. The Owner is Don Alan Thomas. The Applicant is Sun Coast Architects.
23
24 F. C. LaVrier, Suncoast Architects, presented this item to the Commission and reviewed the
25 requested variances.
26
27 Chairman Morin opened the public hearing.
28
29 No one from the audience came forward to speak.
30
31 Chairman Morin closed the public hearing and called for discussion.
32
33 Motion was made to approve ZA07-004, subject to Concept Plan Review Summary No. 3, dated
34 March 2, 2007; approving the variances for stacking on Lot 1 and the Right-of-Way; adding Sexually
35 Oriented Businesses to be on the list of excluded uses; and including and accepting the revised
36 concept plan for Lot 5 as distributed and presented this evening.
37
38 Motion: Bledsoe
39 Second: Hudson
40 Ayes: Hudson, Bledsoe, Faglie, Springer, Morin
41 Nays: None
42 Approved: 5-0
43 Motion carried.
44
Planning and Zoning Commission Meeting Minutes on March 8, 2007. 4
I Vice Chairman Bledsoe recused himself from the next item due to a conflict of interest. An affidavit
2 has been completed and will be filed with the City Secretary's office.
3
4 AGENDA ITEM # 11, ZA07-013, ZONING CHANGE AND SITE PLAN FOR NOLEN CENTER:
5 Senior Planner Ben Bryner presented this item to the Commission for a zoning change and site plan.
6 The property is located at 2627 E. Southlake, Boulevard, Southlake, Texas. The current zoning is
7 "AG" Agricultural District. The requested zoning is "S-P-1" Detailed Site Plan District. SPIN
8 Neighborhood # 7. The Owner is Loyalty Holdings, L.P. The Applicant is The Dimension Group.
9
10 Dustin Renfro, Huff Partners Commercial Real Estate, introduced his project team and presented
11 this item to the Commission.
12
13 Courtney Lindley, Starbucks, answered questions.
14
15 Dustin Renfro continued discussion.
16
17 Richard Akin, The Dimension Group project engineer, answered questions about the
18 underground detention pond.
19
20 Dustin Renfro distributed some revised exhibits of elevations.
21
22 Courtney Lindley returned to answer additional questions.
23
24 Dustin Renfro continued.
25
26 Richard Akin answered questions regarding the turn around radius.
27
28 Chainnan Morin opened the public hearing.
29
30 Laura K. Hill, 1601 Kings Court, Southlake, Texas / owner of 2545 E. Southlake Boulevard,
31 spoke in opposition. She felt two drive-through businesses would cause too much traffic for this
32 location.
33
34 Chairman Morin closed the public hearing and called for discussion.
35
36 Dustin Renfro and Courtney Lindley returned to the podium to answer questions and address
37 concerns from the Commission.
38
39 The Commission continued their discussion. Major concern was for traffic flow.
40
41 Dustin Renfro returned to the podium and agreed to have a traffic study done at this location. He
42 requested to table until June 7, 2007.
43
44 Motion was made to table ZA07-013 until June 7, 2007.
Planning and Zoning Commission Meeting Minutes on March 8, 2007. 5
I Motion: Faglie
2 Second: Springer
3 Ayes: Wang, Hudson, Faglie, Springer
4 Nays: Morin
5 Approved: 4-1
6 Motion to table carried.
7
8
9 AGENDA ITEM # 13, ZA07-017, PLAT REVISION FOR LOTS 1 R 1 & 1 R2 BLOCK C
10 BRIARWOOD ESTATES, PHASE I:
11 Senior Planner Ben Bryner presented this item to the Commission for a plat revision. The property is
12 located at 400 Briarwood Drive, Southlake, Texas. The current zoning is "MF-1" Two Family
13 Residential District. SPIN Neighborhood # 6. The Owner is Ahmeti Asset Management LLC. The
14 Applicant is JPH Land Surveying, Inc.
15
16 Jetmir Ahmeti, Ahmeti Asset Management LLC, opened for questions.
17
18 Chairman Morin opened the public hearing.
19
20 No one from the audience came forward to speak.
21
22 Chairman Morin closed the public hearing and called for discussion.
23
24 Motion was made to approve ZA07-017, subject to Revised Plat Review Summary No. 3, dated
25 March 2, 2007.
26
27 Motion: Bledsoe
28 Second: Faglie
29 Ayes: Wang, Bledsoe, Faglie, Springer
30 Nays: Hudson, Morin
31 Approved: 4-2
32 Motion carried.
33
34
35 AGENDA ITEM # 14, ZA07-025, PLAT REVISION FOR LOTS 1R1 & 1R2 2R 4R1 4R2 &
36 4R3, BLOCK 1, SABRE GROUP CAMPUS:
37 Senior Planner Ben Bryner presented this item to the Commission for a plat revision. The property
38 being a revision of Lots 1, 2, & 4, Block 1, Sabre Group Campus, located at Kirkwood Boulevard &
39 State Highway 114, Southlake, Texas. The current zoning is "NR-PUD" Non-Residential Planned
40 Unit Development District. SPIN Neighborhood # 2. The Owner is CSL Leasing & Maguire
41 Partners. The Applicant is Sabre Holdings.
42
43 Will Erickson, Sabre Holdings, presented this item to the Commission.
44
Planning and Zoning Commission Meeting Minutes on March 8, 2007. 6
I Chairman Morin opened the public hearing.
2
3 No one from the audience came forward to speak.
4
5 Chairman Morin closed the public hearing and called for discussion.
6
7 Motion was made to approve Z.A07-025, subject to Plat Review Summary No. 1, dated March 2,
8 2007.
9
10 Motion: Bledsoe
I1 Second: Hudson
12 Ayes: Wang, Hudson, Bledsoe, Faglie, Springer, Morin
13 Nays: None
14 Approved: 6-0
15 Motion carried.
16
17
18 AGENDA ITEM # 15, DISCUSSION: SOUTHLAKE DEVELOPMENT EXCELLENCE
19 AWARDS:
20 Senior Planner Ben Bryner presented options to the Commission for consideration.
21
22 After discussion, the Commission agreed to the following winners:
23 Non-Residential - Grand Avenue
24 Residential (two winners) - St. Emilion and Brownstones at Southlake Town Square
25
26 Chairman Morin adjourned the meeting at 9:13:36 p.m. on March 8, 2007.
27
28
29
30
31
32
35 ~Al Morin
36 Chairman
37 ATTEST:
38
39
40
41
42
14
45 Lorrie Fletcher
46 Administrative Secretary
Planning and Zoning Commission Meeting Minutes on March 8, 2007. 7
CONFLICT OF INTEREST AFFIDAVIT
THE STATE OF TEXAS §
'OUNTY OF TARRANT §
I, Jaff ~'V'l as a member of the aw\, f the City of Southlake,
make this affidavit and h reby on oath state the following: I, u y spous , and/or a -person or persons related to me
within the first degree of consanguinity or affinity, have a substantial interest in a business entity or real property as
defined in Chapter 171, Texas Local Government Code, and/or City of Southlake Ordinance No. 635 and a vote is to be
taken or a decision is to be made that will have a special economic effect on this business entity or real property.
The agenda item affecting this business entity or real properly is: XA 0 J --0o 4-
COMPLETE (A) or (B): (A) The business entity is I wc`-V wu>5 ~ t,- (name); or
(B) The real property is located at:
I have a substantial interest because I, my spouse, and/or a person or persons related to me within the first degree of
consanguinity or affinity have the following relationship to the business entity or real property which will likely be
affected by the vote on the above-referenced agenda item: (check all which are applicable)
Ownership of 10% or more of the voting stock or shares of the business entity.
Ownership of 10% or more or $5,000 or more of the fair market value of the business entity.
Funds received from the business entity exceed 10% of gross income for the previous year.
Hold a position of member of the board of directors or other governing board of the business entity.
Serve as an elected officer of the business entity.
An employee of the business entity.
Creditor, debtor or guarantor of the business entity in the amount of five thousand dollars ($5,000.00)
or more.
Properly of the person has been pledged to the business entity or is subject to a lien in favor of the
business entity in the amount of five thousand dollars ($5,000.00) or more.
Have an equitable or legal ownership of real property with a fair
market value of at least $2,500.
Other: R1, -4 ko {~Z~ ~~v r i kr o- J21LV ci 't ^e c 1 a ~1 Q
V \J
Upon filing of this affidavit with the City Secretary, I affirm that I will abstain from voting on any decision and
from any further participation by discussion or debate regarding the above-referenced agenda item. I also affirm that
this affidavit is being submitted to the City Secretary before the start of the meeting at which the agenda item in
question is being addressed or as soon as practicable once I realized a potential conflict exists.
Signed this day of M out e~ , 20 6
c
Signature of facial
-he State of Texas §
County of Tarrant § r
Bef re me, ~ Lo yY-t c- on this day personally appeared
known tome (or proved to me on the oath of or through
(descripti n of identity card or other document) to be the person whose name is subscribed to the
foregoing instrument and, after first being by me duly sworn, stated that the statements made in this affidavit are within
his personal knowledge and are true and correct.
Given under my hand and seal of office this day of Kxa-v cL,\ ~
(SEAL) a
x : Notary Public in and for the State of Texas
e OF "t
~X
PIREg `a
,'%,,~~0 1..
CONFLICT OF INTEREST AFFIDAVIT
THE STATE OF TEXAS §
;OUNTY OF TARRANT §
1, 6 r CVVI a 6A N e dS'41 as a member of the + 7, of the City of Southlake,
make this affidavit and hereby on oath state the following: I, my spouse, and/or a person or persons related to me
within the first degree of consanguinity or affinity, have a substantial interest in a business entity or real property as
defined in Chapter 171, Texas Local Government Code, and/or City of Southlake Ordinance No. 635 and a vote is to be
taken or a decision is to be made that will have a special economic effect on this.business entity or real property.
The agenda item affecting this business entity or real property is. yr A 41 3
COMPLETE (A) or (B): (A) The business entity is 1 V iev, ~et.4 (name); or
(B) The real property is located at:
I have a substantial interest because I, my spouse, and/or a person or persons related to me within the first degree of
consanguinity or affinity have the following relationship to the business entity or real property which will likely be
affected by the vote on the above-referenced agenda item: (check all which are applicable)
Ownership of 10% or more of the voting stock or shares of the business entity.
Ownership of 10% or more or $5,000 or more of the fair market value of the business entity.
Funds received from the business entity exceed 10% of gross income for the previous year.
Hold a position of member of the board of directors or other governing board of the business entity.
Serve as an elected officer of the business entity.
An employee of the business entity.
Creditor, debtor or guarantor of the business entity in the amount of five thousand dollars ($5,000.00)
or more.
Property of the person has been pledged to the business entity or is subject to a lien in favor of the
business entity in the amount of five thousand dollars ($5,000.00) or more.
Have an equitable or legal ownership of real property with a fair
market value of at least $2,500.
X Other: I f rn e' -h s O T P~ I J n 't Or M
Upon filing of this affidavit with the City Secretary, I affirm that I will abstain from voting on any decision and
from any further participation by discussion or debate regarding the above-referenced agenda item. I also affirm that
this affidavit is being submitted to the City Secretary before the start of the meeting at which the agenda item in
question is being addressed or as soon; as practicable once I realized a potential conflict exists.
44&'
Signed this C' day of 20
r
Signature of Official
'he State of Texas §
County of Tarrant §
Before me, on this day personally appeared
hJ Y A r<, . 1 mac, se 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, after first being by me duly sworn, stated that the statements made in this affidavit are within
his personal knowledge and are true and correct.
Given under my hand and seal of office this day of _N `x re a - .
(SEAL) Not`SgVµNNV
FIETC~
Notary Public in and for the State of Texas
V^, EXP1R~s +~r
Og • •1 5.2~