Fillable Dedicate ROW Application (City of Midland Texas)

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Dedicate ROW Application (City of Midland Texas)

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The Dedicate ROW Application (City of Midland Texas) form is 1 page long and contains:

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  • 4 check-boxes
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Country of origin: US
File type: PDF

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

BROWSE CITY OF MIDLAND TEXAS (TX) FORMS

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Dedicate Right-of-Way Application
Project Number:_______________________
Case Number:________________________
Property Owner (as it appears on the record of ownership)
Printed Name:
Phone ( )
Email
Address
City
State
Zip
Applicant (if acting as Agent, see affidavit on page 2)
Printed Name:
Phone ( )
Email
Address
City
State
Zip
1 FOLDED Copy of Survey (must indicate property requested for dedication and its relationship to
the applicant’s property)
Digital Copies of Survey (PDF/JPEG)
Applicant (signature):
Date:
Property Owner (signature):
Date:
**Application will not be considered for scheduling until reviewed by a planner.**
Dedication Right-of-Way Application 2 Revised 07/02/19
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
□
1 Copy of Dimensioned Survey
□
Survey in Digital Format (PDF/JPEG)
□
1 FOLDED Copy of Survey
□ Title Opinion
□ Application Fee
Check #_____________________
Received By:
Date:
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Dedicate ROW Application (City of Midland Texas)

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Completed 23 January 2021

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