Tom Green County Clerk
Court Street Annex
124 W. Beauregard
San Angelo, TX 76903
PROPERTY OWNER’S NAME: _____________________________________________________________
(Last) (First) (Middle)
P
ERMANENT MAILING ADDRESS: _________________________________________________________
TELEPHONE NUMBER: HOME_______________ CELL_________________ WORK__________________
You will be contacted within 3 business days
S
ITE ADDRESS (911): ____________________________________________________________________
LEGAL DESCRIPTION: IS THIS SITE IN A SUBDIVISION YES NO
SUBDIVISION NAME: ____________________________________________________________________
LOCATION IN SUBDIVISION: SEC______________ BLOCK__________ LOT___________________
OTHER THAN SUBDIVISION: ACREAGE__________________ SURVEY____________________
PRECINCT NUMBER: ______________
NATURE OF PROPOSED CONSTRUCTION:
RESIDENTIAL NON-RESIDENTIAL OTHER
C
OMMERICAL: ________________________________________________________________________
(NAME AND TYPE OF BUSINESS)
RECEIPT No.: _______________________