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)
ONING
EVELOPMENT
UILDING
IGN
DDRESS OF
ROPERTY
CREAGE OF
ITE
EGAL
ESCRIPTION
UBDIVISION
ECTION
OT
UMBER
ROPERTY
WNER
ONTACT
AME
ELEPHONE
AIL
AILING
DDRESS
ITY
TATE
IP
ODE
ROJECT
NGINEER
IRM
ONTACT
AME
ELEPHONE
AIL
AILING
DDRESS
ITY
TATE
IP
ODE
ROJECT FOR WHICH
ARIANCE IS
OUGHT
PPLICABLE
ECTION
UBSECTION OF
RDINANCE
PECIFIC USE OF THE
ROPERTY
XISTING USES OF
DJACENT
ROPERTIES
(F
OR CITY USE ONLY)
UBMITTAL
ERIFICATION
NSPECTION
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.
ERMIT
UMBER
MOUNT
ECEIVED
OTES
PPLICANT
IGNATURE
RINTED
AME
ATE
click to sign
signature
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