Fillable BRAZOS COUNTY ROAD AND BRIDGE DEPARTMENT APPLICATION FOR (Brazos County, Texas)

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BRAZOS COUNTY ROAD AND BRIDGE DEPARTMENT APPLICATION FOR (Brazos County, Texas)

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BROWSE BRAZOS COUNTY, TEXAS (TX) FORMS

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PERMIT#______________________
(OFFICE USE ONLY)
BRAZOS COUNTY
ROAD AND BRIDGE DEPARTMENT
APPLICATION FOR JUNKYARDS, AUTOMOTIVE WRECKING AND SALVAGE YARDS
LICENSE
This application will expire (1) year from date issued.
The undersigned hereby makes application for:
Operation of a junkyard
Expansion of any of the above
Operation of an automotive wrecking yard
Operation of a salvage yard
Change of the location
****This form must be completely filled out to be accepted. Please type or print all information. A check, cash or money order for $25.00 must
accompany this application. A current driver’s license must be provided for a copy to be kept on file. There will be no refunds once this application is
submitted.
Name of Business/Operation: _________________________________________________________________________________________________
Site Address: ______________________________________________________________________________________________________________
City: _______________________________State:__________________ Zip: _______________________ Phone: _____________________________
Mailing Address: ___________________________________________________________________________________________________________
City: _______________________________State:__________________ Zip: _______________________ Phone: _____________________________
Name of Applicant: _________________________________________________________________________________________________________
Applicant’s Residential
Address::_________________________________________________________________________________________________________________
City: _______________________________State:__________________ Zip: _______________________ Phone: _____________________________
Location of deed recorded in Property Records of Brazos County, Texas
Page Number: _________________________________________Volume Number: ______________________________________________________
Exact Legal Description of Proposed Operation: __________________________________________________________________________________
_________________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________________
Please attach a detailed drawing of the proposed facility.
Is the applicant a partnership? No Yes If yes, please provide the name, mailing address, residential street address and business street
address for each member of the partnership.
Name: __________________________________________________________________________________________________________________
Address: ________________________________________________________________________________________________________________
City: _______________________________State:__________________ Zip: _______________________ Phone: ____________________________
Is the applicant a corporation? No Yes If yes, please provide the name, mailing address, residential street address and business street
address for each officer and director of the corporation and the name and address of process on the registered agent of the corporation.
Name: __________________________________________________________________________________________________________________
Address: ________________________________________________________________________________________________________________
City: _______________________________State:__________________ Zip: _______________________ Phone: ____________________________
Additional Documents Required:
1) If an assumed name (d/b/a) is used, a date-stamped copy of Certificate of Assumed Name
2) If the applicant is a general partnership, a copy of the fully executed partnership agreement
3) If the applicant is a limited partnership, a date-stamped copy of the Certificate of Limited Partnership
4) If the applicant is a corporation, a date-stamped copy of the Articles of Incorporation filed with the Secretary of State and a certified copy of the
corporate resolution authorizing the corporation to file an application pursuant to these rules and designating the officer authorized to execute
the application.
5) If the applicant is not the owner in fee simple of the proposed yard, a properly executed power of attorney or other written evidence of the
agency agreement between the applicant and the owner.
*Applicant agrees to comply with The Brazos County Order Establishing Rules For Junkyards, Automotive Wrecking And
Salvage Yards.
__________________________________________________ Date _________________________
Signature of Owner
“Applicant grants Brazos County authority to place notices pursuant to Article 3.02 (c) and access to the site of the proposed yard. All information
contained in said application shall be true and correct to the best of the applicant’s knowledge and belief. Applicant acknowledges that the license
applied for shall be subject to all provision of the codes and statues of the State of Texas.”
__________________________________________________ Date _________________________
Signature of Owner
________________________________
Owner’s Driver License Number
ACKNOWLEDGMENT
STATE OF TEXAS
COUNTY OF BRAZOS
Before me, the undersigned authority, on this day personally appeared________________________________ known to me to be the person(s) whose
name(s) is/are signed to the foregoing application and duly sworn by me, each states under oath that he has read the said application and that all facts
therein set forth are true and correct. Sworn to before me, this _____________day of_______________________________________20___________
______________________________________________
NOTARY PUBLIC
*THIS APPLICATION WILL EXPIRE (1) YEAR FROM DATE ISSUED*
*****************************************************************************************************************************************************************************
APPROVAL OF APPLICATION:
This Request is Approved______ (or) Denied______ by the County Engineer’s Office on _______________, 20_____.
________________________________
County Engineer or authorized agent
This Request is Approved______ (or) Denied______ by Commissioner’s Court on _______________, 20_____.
________________________________
E. Duane Peters, County Judge
I hereby certify that the application of ______________________________ was Approved______ (or) Denied______ by the
Brazos County Commissioner’s Court on ______________, 20_____.
__________________________
Karen McQueen, County Clerk
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BRAZOS COUNTY ROAD AND BRIDGE DEPARTMENT APPLICATION FOR (Brazos County, Texas)

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Completed 30 January 2022

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