Signature (by property owner only – authorized agent must sign affidavit below)
Applicant (signature): Date:
Property Owner (signature): Date:
Property Owner (printed) :
The Zone Change/Planned District Amendment/Site Plan Approval shall be considered officially received in the Planning
office only when it has been submitted in full compliance with the provisions of Section 212 of the Texas Local
Government Code and the Zoning Code of Ordinances of the City of Midland and when such required items for the
application are also received.
All materials, including exhibits, submitted in support of an application, or displayed during a public hearing, shall remain
the property of the City of Midland.
STATE OF TEXAS
COUNTY OF MIDLAND
Before me, the undersigned authority, on this day personally appear who, being by
sworn, upon oath says: That (s)he is the owner of _____________________or authorized by __________________, the
owner of the above
described property, to fully represent him/her in this application and that (s)he had the legal right,
power and authority to
sign said owner’s name hereto as his/her attorney in fact.
Authorized Agent (signature)
Subscribed and sworn to before me, this day of _, 20 , to certify which witness
my hand and seal of office.
NOTARY PUBLIC, MIDLAND COUNTY, TEXAS
Property Owner Authorization
Dimensioned Site Plan
Plans in Digital Format (PDF/JPEG)
Received By: Date:
**Application will not be considered for scheduling until reviewed by a planner.**
Special Exception Application