Fillable CITY OF ROLLINGWOOD PLAT APPLICATION INSTRUCTIONS The plat, (City of Rollingwood)

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CITY OF ROLLINGWOOD PLAT APPLICATION INSTRUCTIONS The plat, (City of Rollingwood)

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CITY OF ROLLINGWOOD
PLAT APPLICATION INSTRUCTIONS
The plat, plat application, owner notification certification and the filing fee make up the plat application packet.
Per Subdivision Ordinance, all of these items, prepared as instructed, must be received before the application
can be considered “filed” and proceed through the platting process.
Plat: The Subdivision Ordinance is provided with the Plat Application to provide guidance and instruction for
the surveyor’s use in preparing a plat to be submitted to the City of Rollingwood. Please encourage
the surveyor to incorporate the requirements listed in 105-26. The Subdivision Submittal Requirements
Checklist also provides additional information for preparation of the Plat, as well as a checklist to ensure all
required documents are submitted.
Plat application:
Page 1 will be the cover page for the application documents and names the Primary Contact for the
platting process. Enter information about the plat, owner, professional(s) who prepared the plat and
the Primary Contact who can be any one of these or another person appointed by the owner.
Page 2 is the Owner’s Acknowledgment form. Ask the surveyor to complete this form. It requires
owner(s) name and signature(s) which must be notarized. By this signature, the owner is authorizing
the plat application as well as the Primary Contact entered on page 1 of the application. The form is to
be signed and sealed at the bottom of the page by the professional who prepared the plat.
Owner’s deed with the Travis County recordation stamp on the last page.
Original Tax Certificate issued by Travis County showing all taxes have been paid for the
previous year. The original tax certificate will have an embossed County seal. Call 512-854-9473
or email TaxOffice@co.travis.tx.us to request the Tax Certificate, providing the address, legal
description and
owner’s name.
Owner Notification Certification that is signed by the owner(s) to verify that plat application notification
has been done as required by City Ordinance. The owner notification letter will be prepared based on
the type of plat being proposed and will be emailed to the applicant for owner signature and
distribution.
Filing fee: $1200 + $300 per lot paid to CITY OF ROLLINGWOOD.
Submit plat, application and filing fee: Call or email to request an appointment for plat submittal and technical
review.
Carrie Caylor
THE CITY OF ROLLINGWOOD
Phone +1 (512) 327-1838
403 Nixon Dr.
Rollingwood, TX 78746-5512
www.rollingwoodtx.gov
Email:ccaylor@rollingwoodtx.gov
CITY OF ROLLINGWOOD
PLAT APPLICATION
SUBDIVISION NAME AND LOCATION:
CURRENT LEGAL DESCRIPTION:
PROPOSED LEGAL DESCRIPTION: SUBDIVISION
LOT BLOCK
STREET LOCATION:
OWNER INFORMATION:
NAME: CONTACT:
STREET ADDRESS: CITY/STATE/ZIP:_____________________________________
TELEPHONE: EMAIL:
PRIMARY CONTACT/AGENT INFORMATION:
ENGINEER INFORMATION:
SURVEYOR INFORMATION:
RELATED CASES:
PROJECT INFORMATION: CITY USE ONLY
PROCESS TYPE: 1 = Subdivide; 2 = Plat-building permit; 3 = Replat/Vacation; 4 = Resubdivide
ADDRESS:
FILING DATE: HEARING DATES: P&Z COUNCIL ACCEPTED BY
FIRM NAME: CONTACT:
STREET ADDRESS: CITY/STATE/ZIP:_____________________________________
TELEPHONE: EMAIL:
FIRM NAME: CONTACT:
STREET ADDRESS: CITY/STATE/ZIP:_____________________________________
TELEPHONE: EMAIL:
FIRM NAME: CONTACT:
STREET ADDRESS: CITY/STATE/ZIP:_____________________________________
TELEPHONE: EMAIL:
EXISTING ZONING: PROPOSED ZONING:
ZONING CASE NUMBERS:
ZONING ORDINANCE NUMBERS:
OWNER'S ACKNOWLEDGMENT
STATE OF TEXAS )(
COUNTY OF TRAVIS )(
KNOW ALL MEN BY THESE PRESENTS:
That________________________________________ __________________________________________________
(Individual) (Corporation, acting by and through)
____________________________________________ __________________________________________________
(Partnership, acting by and through)
____________________________________________ __________________________________________________
(Other)
owner(s) of the tract(s) of land described in warranty deed(s) recorded in Volume(s)_______________________________
Page(s)_______________________, of deed records of Travis County, copies thereof attached hereto and made a part
hereof for all pertinent purposes, do hereby make and/or authorize
to make application for subdivision of such property in accordance with the accompanying plan/plat, and do hereby offer to
dedicate to the public use all streets and easements shown thereon, or as may otherwise by required by applicable
ordinances, pursuant to the City of Rollingwood Code of Ordinances and Chapter 212, of the Texas Local Government
Code.
Witness my hand this _____ day of ____________, Witness my hand this ______day of ___________________,
20____. 20_____.
________________________________________ ________________________________________________
(Owner's signature) (Owner's signature)
This instrument acknowledged before me on the This instrument acknowledged before me on the
_____day of ___________________, 20______. _____day of ___________________, 20______.
________________________ _______________________
Notary Public, in and for Notary Public in and for
________________________ _______________________
My Commission expires:___________________ My Commission expires:___________________________
ENGINEER'S / SURVEYOR'S CERTIFICATION
This is to certify that I am authorized to practice the profession of Engineering/Surveying in the State of Texas; that I
prepared/reviewed the plan/plat submitted herewith; that all information shown thereon is accurate and correct to the best
of my knowledge as related to the engineering / surveying portions thereof; and that said plat complies with the City of
Rollingwood Code of Ordinances.
Witness my hand this ______day of __________________, 20______.
(SEAL) _______________________________________
Engineer's/Surveyor's signature
SUPPLEMENTAL CHECKLIST INFORMATION
1. Example of statement verifying that property is located in the City of Rollingwood as
required by
Travis County Clerk’s Office:
This subdivision is located within the Full Purpose City Limits of the City of Rollingwood,
Texas on this the ______ day of ________________, 20___, A.D.
2. Certification block required by Travis County Clerk’s Office:
STATE OF TEXAS )(
COUNTY OF TRAVIS )(
I, DANA DEBEAUVOIR, CLERK OF TRAVIS COUNTY, TEXAS, DO HEREBY
CERTIFY THAT THE FOREGOING INSTRUMENT OF WRITING AND ITS
CERTIFICATE OF AUTHENTICATION WAS FILED FOR RECORD IN MY OFFICE ON
THE _______ DAY OF __________________________ 20__, A.D. AT _________
O’CLOCK ___M., AND DULY RECORDED ON THE _______ DAY OF
_____________________ 20__, A.D. AT _______ O’CLOCK ____M., OFFICIAL
PUBLIC RECORDS OF SAID COUNTY ANDSTATE IN DOCUMENT
NO.____________________________________ WITNESS MY HAND AND SEAL OF
OFFICE OF THE COUNTY CLERK, THE _______TH DAY OF
_____________________________________ 20__, A.D.
DANA DEBEAUVOIR, COUNTY CLERK
TRAVIS COUNTY, TEXAS
BY:____________________________________________________
DEPUTY
Plats will be reviewed using the requirements contained in the applicable sections of
the ordinances: City of Rollingwood Code of Ordinances Secs. 105-3 to105-22.
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CITY OF ROLLINGWOOD PLAT APPLICATION INSTRUCTIONS The plat, (City of Rollingwood)

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Completed 16 July 2020

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