Fillable Application (Non-Alcohol) Specific Use Designation (City of Midland Texas)

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Application (Non-Alcohol) Specific Use Designation (City of Midland Texas)

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U.S.A. forms for City of Midland Texas

BROWSE CITY OF MIDLAND TEXAS (TX) FORMS

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Specific Use Designation
Application (Non-Alcohol)
Case Number:_______________________
Ord. Number:________________________
Applicant (if acting as Agent, see affidavit on page 2)
Printed Name:
Phone ( )
Email
Address
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
Type of Permit:
For Office Use Only
□ with Term □without Term
Maximum Floor Area:
Maximum Occupancy:
Parking (if applicable)
Building Footprint
**Application will not be considered for scheduling until reviewed by a planner.**
SUD Application 2 Revised 07/02/19
Applicant (signature):
Date:
Property Owner (signature):
Date:
The Specific Use Designation 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.
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
□ Property Owner Authorization
□ Dimensioned Site Plan
□ Application Fee
□
Site Plan in Digital Format (PDF/JPEG)
Check #_____________________
Received By:
Date:
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Application (Non-Alcohol) Specific Use Designation (City of Midland Texas)

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Completed 23 January 2021

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