Building & Development Services
1102 Lohmans Crossing, Lakeway, TX 78734
Phone: (512) 314-7540 Fax: (512) 314-7541
www.lakeway-tx.gov
APPLICATION FOR VARIANCE
(CHECK ONE & INCLUDE SUPPORTING MATERIAL ON CHECKLIST)
Z
ONING
D
EVELOPMENT
B
UILDING
S
IGN
A
DDRESS OF
P
ROPERTY
:
A
CREAGE OF
S
ITE
:
L
EGAL
D
ESCRIPTION
(S
UBDIVISION
,
S
ECTION
,
L
OT
N
UMBER
):
ROPERTY
WNER
C
ONTACT
N
AME
:
T
ELEPHONE
:
E-M
AIL
M
AILING
A
DDRESS
:
C
ITY
:
S
TATE
Z
IP
C
ODE
ROJECT
NGINEER
IRM
C
ONTACT
N
AME
:
T
ELEPHONE
:
E-M
AIL
M
AILING
A
DDRESS
:
C
ITY
:
S
TATE
Z
IP
C
ODE
P
ROJECT FOR WHICH
V
ARIANCE IS
S
OUGHT
:
A
PPLICABLE
S
ECTION
/S
UBSECTION OF
O
RDINANCE
:
S
PECIFIC USE OF THE
P
ROPERTY
:
E
XISTING USES OF
A
DJACENT
P
ROPERTIES
:
(F
OR CITY USE ONLY)
S
UBMITTAL
V
ERIFICATION
/I
NSPECTION
A
UTHORIZATION
:
That I, as owner or duly authorized officer of the property hereinafter
referenced, do hereby execute this document, acknowledge the above
statements to be true and accurate to the best of knowledge, and
understand that knowing and willful falsification of information will
result in rejection of my application and may be subject to criminal
prosecution. I have re
ceived, read and understand the terms and
conditions of this request, and agree to compliance with all applicable
codes and ordinances of the City.
I authorize the City or their
representatives to visit and inspect the property for which this
application is being submitted.
P
ERMIT
N
UMBER
:
A
MOUNT
R
ECEIVED
:
N
OTES
:
A
PPLICANT
S
IGNATURE
P
RINTED
N
AME
D
ATE
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