S:\Planning\Planning Division\Planning Div Forms\Applications\Staff - Administrative LTU.docx Rev. 11/2020
IV. ACKNOWLEDGEMENTS
I certify that [ ] I am the legal owner on record, or [ ] I have secured the property owner’s permission and have
full authority to make this application, and that the above information is correct and complete to the best of my
knowledge and ability.
Please read and initial below:
_____ I understand that all documents submitted with this application are subject to open records requests in
accordance with the Open Records Act / Texas Public Information Act.
_____ I understand that receipt of an application does not constitute application completeness and that staff will
review the application and return incomplete applications. I understand that application fees are non-
refundable once an application has been accepted and processed.
_____ I understand that a Certificate of Appropriateness is required when the request is within a locally
designated historic district.
_____ I understand that a public hearing by the Planning Commission will be required in the following
circumstances and that the Planning Commission may either approve, approve with conditions or with
modifications, or deny the LTU:
1. The proposed project does not conform to the attached standard criteria;
2. An objection is received from any of the reviewing bodies; or
3. The Director of Development Services Department shall reserve the right to forward any application
to the Planning Commission for review.
______________________________________________________ ____________________________
Printed Name and Signature of Applicant Date
______________________________________________________ ____________________________
Printed Name and Signature of Adjacent Property Owner Date
V. APPLICANT CHECKLIST
All documents should be provided in 8.5” x 11”, or please fold to appropriate size if larger. All drawings must be to scale.
Please provide electronic copies, if available. Other pertinent information to support said request should also be attached.
[ ] Written Narrative – including:
Type of LTU requested
Justification of request for placing items in the City right-of-way
Narrative describing in detail the design and materials of the items to be placed in the City right-of-way
Photographs of the proposed items, when located within a historic district
[ ] Site Plan – including:
Scale, North Arrow, Legal Descriptions, Street Address
Location, dimensions, and description of items currently located in the City right-of-way
Location, dimensions, and description of all proposed items to be placed in the City right-of-way
[ ] Non-Refundable Application Fee $50.00 (payable to the City of Galveston)
Please note there are additional fees associated with the approval of a License to Use the City right-of-way,
including:
A one-time fee of $50.00 for the first $1,000.00 of cost for labor and materials and $25.00 for each additional
$1,000.00. Please provide cost of work here: _____________. (for street furniture, architectural features,
underground foundations, canopies, and subdivision improvements only)
Annual Renewal fee, Canopy $50.00 or $1.00 per linear foot of right-of-way being used (fee less than $50.00
is automatically waived).
[ ] Title Report – if adjacent property was purchased within the last 60 days.
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