Annexation/Initial Zoning
Application
Project Number:
Case Number:
Street Address:
Legal Description
Lot: Block:
Subdivision:
Submittal and Fees
Items to be submitted with this application form:
Application Fee Payable to the ‘City of Midland’
Dimensioned Site Plan
Digital Copies of Site Plan (PDF/JPEG)
Applicant (if acting as Agent, see affidavit on page 2)
Printed Name:
Phone ( )
Email
City
State
Zip
Property Owner
Printed Name:
Phone ( )
Email
Address
City
State
Zip
Representative (if different from Applicant or Property Owner)
Firm:
Printed Name:
Phone ( )
Email
Address
City
State
Zip
Proposed Zone:
(List by tracts if more than one district is requested)
Reason for Annexation/Zone Change Request:
Present Use of Property:
Proposed Use of Property:
How would this annexation/zone change affect the public health, safety and welfare?
Describe how this annexation/zone change will affect adjacent properties:
Signature (by property owner only authorized agent must sign affidavit below)
Applicant (signature):
Date:
Applicant (printed):
Property Owner (signature):
Date:
Property Owner (printed) :
The Annexation/Initial Zoning 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.
If an agent is authorized by the property owner to file and execute the application on behalf of the property
owner, the agent must complete the affidavit below.
STATE OF TEXAS
COUNTY OF MIDLAND
Before me, the undersigned authority, on this day personally appeared who, being by
me duly sworn, upon oath says: That (s)he is 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
FOR OFFICE USE ONLY
Property Owner Authorization
Metes and Bounds (Sealed by Surveyor)
Application Fee
Files in Digital Format (PDF/JPEG)
Check #_
Received By:
Date:
**Application will not be considered for scheduling until reviewed by a planner.**
Annexation/Initial Zoning Application
2
Revised 07/29/20
Petition