S:\Planning\Planning Division\Planning Div Forms\Applications\Encroachment Application.doc 8/28/2019
CITY OF GALVESTON PO Box 779, Galveston, Texas 77553
DEVELOPMENT SERVICES DEPARTMENT Phone: 409/797-3660
ENCROACHMENT APPLICATION
Case No.: _______________
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I. APPLICANT INFORMATION
( )
Applicant Name Telephone
Mailing Address E-Mail
( )
Property Owner Name Telephone
Mailing Address E-Mail
II. PROPERTY INFORMATION
Street Address of Property
Legal Description of the Property
III. ENCROACHMENT OF STRUCTURE
Width Length
How long has the portion of the structure been located in the alley or street right-of-way?
IV. ACKNOWLEDGEMENTS – please initial the following:
_______ I certify that I am the legal owner or record or I have secured the property owner’s permission and have full
authority to make this application.
_______ I certify that I have reviewed and understand the applicable regulations relating to encroachments per Ordinance #
13-060.
Printed Name and Signature of Applicant Date Printed Name and Signature of Property Owner Date
V. APPLICANT CHECKLIST
[ ] Written narrative of the request [ ] Tax Receipts (one current and one from 50 years ago)
[ ] Survey of the property indicating the encroachment [ ] Application fee of $25.00
[ ] Written approval from the following utilities: CenterPoint, AT & T, Comcast, Texas Gas Service
DEPARTMENTAL USE ONLY
APPLICATION ACCEPTED BY: ___________________________________ DATE:
AMOUNT: ____________________________ REMARKS:
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