Fill - Free fillable Form 21405 (City of Lakeway) PDF form

Building & Development Services

1102 Lohmans Crossing, Lakeway, TX 78734

Phone: (512) 314-7540 Fax: (512) 314-7541

www.lakeway-tx.gov

Page 1 of 1

INFORMATION FOR PLAT AMENDMENTS

What is a plat amendment?

A plat amendment is a legal process that makes minor changes or corrections to a previously

recorded plat. A plat depicts the legal boundaries of a property.

When is a plat amendment required?

A plat amendment is required for any proposed changes to a recorded plat provided it meets the

requirements of the City of Lakeway Code of Ordinances. Typical plat amendments are used to

combine several lots into one lot or to adjust the lot boundaries between existing lots.

How long does the review process take?

Although staff will make every effort to review the submittal as soon as possible, assume a 4-week

review period from the date of submittal (or resubmittal). Staff may administratively approve the plat

once all review comments have been satisfactorily addressed.

What submittals are required for a plat amendment?

The applicant should submit the following to the Building and Development Services Department,

located at 1102 Lohmans Crossing Road, Lakeway, TX 78734:

1. Amended plat application and applicable fee.

2. Approved easement release forms from all relevant utility providers or a letter from the property

owner acknowledging that they prefer the existing easements remain.

(If a structure is proposed where the original lot line is being eliminated or adjusted, the existing

utility easements adjacent to that lot line must also be eliminated or adjusted. An approved

easement release form from the relevant utility providers lets us know that those easements are

no longer necessary to them and the plat amendment may proceed.)

3. A copy of the deed for the property.

4. Two (2) copies of the proposed plat signed by a registered surveyor showing all items listed on

the Amending Plat Checklist.

5. One (1) copy of a site plan showing existing lot lines and easements, proposed lot lines and

easements and any existing structures on the property.

If the property is within the extraterritorial jurisdiction (ETJ) of the City, Travis County must also be

contacted for their approval process.

Once all staff comments have been satisfactorily addressed, one (1) 18”x24” mylar of the amended

plat shall be submitted to the city for signatures. Once signed, the owner must have the plat recorded

with the Travis County Clerk (www.co.travis.tx.us/county_clerk) and return a CD of pdf files of the

recorded document to the Building and Development Services Department.

Building & Development Services

1102 Lohmans Crossing, Lakeway, TX 78734

Phone: (512) 314-7540 Fax: (512) 314-7541

www.lakeway-tx.gov

APPLICATION FOR SUBDIVISION OR DEVELOPMENT

(CHECK ONE & INCLUDE NECESSARY SUPPORTING MATERIAL)

F

INAL PLAT/RE-PLAT

P

LAT AMENDMENT

P

LAT VACATION

P

RELIMINARY PLAN

S

ITE DEVELOPMENT

S

UBDIVISION IMPROVEMENT

S

MALL PROJECT

U

TILITY DEVELOPMENT

P

LAN REVISION

A

DDRESS OF

P

ROPERTY

:

A

CREAGE OF

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ITE

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L

EGAL

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ESCRIPTION

(S

UBDIVISION

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ECTION

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OT

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UMBER

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P

ROPERTY

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WNER

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IRM

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ONTACT

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AME

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ELEPHONE

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AIL

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DDRESS

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ITY

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ROJECT

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NGINEER

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ONTACT

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ELEPHONE

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AILING

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ODE

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AME AND

U

SE FOR WHICH

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EVELOPMENT

P

ERMIT IS

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OUGHT

:

(F

OR CITY USE ONLY)

S

UBMITTAL

V

ERIFICATION

/I

NSPECTION

A

UTHORIZATION

:

As the applicant named above, my signature attests to the fact that the

attached application package is complete and accurate to the best of my

knowledge. I understand that City Staff review is dependent upon the

accuracy of the information

provided and that any inaccurate or

inadequate information provided may delay the review of this

application. I further understand that plans submitted without an

engineer’s and/or surveyor’s seal will not be accepted for review

and that City Staff review time may take up to four weeks per

review. In addition, as the owner or authorized agent, my signature

authorizes the City Staff or their representatives to visit and inspect the

property for which this application is being submitted.

P

ERMIT

N

UMBER

:

A

MOUNT

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ECEIVED

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N

OTES

:

A

PPLICANT

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IGNATURE

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RINTED

N

AME

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ATE

click to sign

signature

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Building & Development Services

1102 Lohmans Crossing, Lakeway, TX 78734

Phone: (512) 314-7540 Fax: (512) 314-7541

www.lakeway-tx.gov

Page 1 of 1

PLAT AMENDMENT CHECKLIST

This checklist is intended to provide a general guideline. Due to the unique circumstances of

different projects, additional information may be required by the City. The following items must

be included in the submittal package in order for plans to be reviewed:

1. A completed application form and applicable fee.

2. Approved easement release forms from all relevant utility providers.

3. A copy of the deed for the property.

The Plat Amendment plan sheets shall be drawn using computer-aided drafting at a legible scale on

18”x24” sheets. Please submit two (2) blue-line copies of the proposed plat and one (1) site plan of the

lots showing existing lot lines and easements, proposed lot lines and easements and any existing

structures on the property.

Plans submitted without a surveyor’s seal will not be accepted for review. Review comments will either

be emailed or faxed to the project surveyor. Review time may take up to four (4) weeks for each

submittal. Do not submit the original mylar for signatures until all comments have been addressed.

At a minimum, the plat amendment sheets shall show the following:

A. The title of the subdivision.

B. The date, north arrow, scale and location map.

C. The new address(es) of the lot(s).

D. The proposed lot boundary lines with bearings and distances, and new lot numbers.

E. The existing lot boundary lines (those that will be amended) depicted in faint dotted lines.

F. The building setback lines on all lot boundaries.

G. The Public Utility Easements (PUE’s) on all lot boundaries.

H. The exact location, name and description of all existing or recorded streets, reservations,

easements or other public rights-of-way within the subdivision, intersecting or contiguous to its

boundaries.

I. The adjacent properties depicted with dashed lines, including the owner, acreage and legal

identification.

J. The limits of the 100-year floodplain or a note stating that none exists on this property.

K. Any applicable buffer zones.

L. A note stating that all recorded restrictive covenants and restrictions from the previous

subdivision apply to the amended plat.

M. The owner’s acknowledgment.

N. A notary certification.

O. Certification by a Registered Surveyor.

P. Code Official approval.

Q. The Travis County Commissioners’ Court approval (if in the ETJ).

R. Filing certification.

Building & Development Services

1102 Lohmans Crossing, Lakeway, TX 78734

Phone: (512) 314-7540 Fax: (512) 314-7541

www.lakeway-tx.gov

APPLICATION FOR EASEMENT RELEASE

(TO BE SENT TO ALL APPLICABLE UTILITY COMPANIES ALONG WITH THEIR OWN APPLICATION FORM)

Application is hereby made for the release of the following easement(s) on property legally described as:

Subdivision/Section:

Lot and Block Number:

Plat Volume/Page:

Street Address:

Provide a description of the easement requested for release, including the amount of the easement to be released

(provide a survey or plat of the area with the area to be released highlighted)

Proposed use of area to be released (describe):

Property Owner Name:

Mailing Address:

Telephone No.:

Email:

(Note: if multiple owners are joining in this request, the complete names, addresses and phone numbers of each must be attached.)

(F

OR CITY USE ONLY)

S

UBMITTAL

V

ERIFICATION

/I

NSPECTION

A

UTHORIZATION

:

That I, as owner or duly authorized officer of the property hereinafter

referenced, do hereby execute this document, acknowledge the above

statements to be true and accurate The undersigned understands that

processing of this Easement Release Application will be handled in

accordance with the procedure for request of Release of Easements. It

is further understood that acceptance of this application does not

obligate any utility to release the subject area. I authorize the City or

their representatives to visit and inspect the property for which this

application is being submitted.

P

ERMIT

N

UMBER

:

A

MOUNT

R

ECEIVED

:

N

OTES

:

A

PPLICANT

S

IGNATURE

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RINTED

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AME

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ATE

SEND EASEMENT RELEASE FORMS TO:

(Send the proper form to the utility company that serves the property needing a release. Verify with each applicable utility

company that you have their correct application form and contact information.)

AT & T

817 W North Loop, Room 200

Austin, TX 78756

Phone: 870-4949

Fax: 870-4475

Time Warner Cable

12012 N. Mopac Expressway

Austin, TX 78758

Phone: 485-6417

Fax: 485-4092

* Pedernales Electric Coop., Inc.

Engineering Dept.

P. O. Box 2620

Cedar Park, TX 78630

Phone: (888) 554-4732

* Austin Energy

Public Involvement/Real Estate Services

721 Barton Springs Rd., #102

Austin, TX 78704-1194

Phone: 322-6410

Fax: 322-6101

* Lakeway Municipal Utility District

1097 Lohman's Crossing Road

Lakeway, TX 78734

Phone: 261-6222

Fax: 261-6681

* Travis County Water Control Improvement District #17

3812 Eck Lane

Austin, TX 78734

Phone: 266-1111

Fax: 266-2790

* Hurst Creek Municipal Utility District

102 Trophy Drive

Austin, TX 78738

Phone: 261-6281

Fax: 261-6773

APPLICATION FOR EASEMENT RELEASE

TO BE SENT TO AT&T Texas at

817 W. NORTH LOOP, ROOM 200, AUSTIN, TX 78756

Louis Salm 512- 870-4967, FAX 512-870-4475, Norma Chalmers 512-870-4949

Application is hereby made for the release of the following easement(s) as described below:

The easement(s) is on property legally described as:

Subdivision / Section:

_________________________________________________

Lot and Block No:

_________________________________________________

Deed book volume/page

or Document #

_________________________________________________

Street Address:

_________________________________________________

Provide common description of the easement requested for release, indicating the amount

of the easement to be released (provide a survey of the property with the easements to be

released highlighted)

_____________________________________________________________________________

Property Owner's Name:

________________________________________________________

Mailing Address:

______________________________________________________________

Telephone No.:

_______________________________________________________________

(Note: if multiple owners are joining in this request, the complete names, addresses and phone

numbers on each must be attached.)

APPLICANT/AGENT'S NAME: _______________________________________________

APPLICANT'S ADDRESS: ___________________________________________________

PHONE: _________________________ FAX : ____________________________________

The undersigned Owner/Applicant/Agent understands that the processing of this

Easement Release Application will be handled in accordance with the Procedure for

Requesting Release of Easements established by each utility company.

Signed by

_______________________________________________________

Land Owner/Applicant/Agent

To be sent to 817 North Loop, Room 200, Austin, TX 78756 along with

survey plat of

property showing easement(s), and legal description with the volume and page or the

document # from recording of the property deed in County Records.

12012 N. Mopac Expressway Austin, TX 78758

512/485-6417 (Laurie Schumpert) 512/485-4092 (Fax)

APPLICATION FOR VACATION OF EASEMENT

Please Print

Application is hereby made for the release of the following easement(s) as described below:

The easement is on property legally described as:

Subdivision: ___________________________________________Section:______________ Block: __________

Lot Numbers: _______________________________________________________________________________

Street Address: ______________________________________________________________________________

As recorded in Volume _______, Page______, of the Plat Records of Travis County, Texas

Provide common description of the easement requested for release, indicating the amount of the easement to be released:

(Example: Five foot P.U.E. & D.E. on either side of the common lot line between lots X and X).

Please provide a survey or plat of the area with the easement to be released highlighted.

Reason for requesting release (Example: Single Family Residence, Accessory Building, etc)

Please note: If multiple owners are making this request, complete name, address, phone must be provided for all.

Property Owner’s name(s): ______________________________________________________________________________

Mailing Address: ______________________________________________________________________________________

Number & Street City State Zip

Phone: ______________________________________________________________________________________________

Day Time Cell Fax

I authorize the following person/company to act in my behalf as my designated agent:

Name of agent/company: _______________________________________________________________________________

Name of Company Name of Contact

Phone: ______________________________________________________________________________________________

Day Time Cell Fax

The undersigned Owner/Applicant/Agent understands that the processing of the Easement Release Application will be

handled in accordance with procedure for requesting release of easements established by Time Warner Cable. It is further

understood that acceptance of this application does not obligate Time Warner Cable to release the subject easement

Signature of Applicant/Agent Date

Version 1.3.0.0

APPLICATION FOR RELEASE OF PUBLIC UTILITY EASEMENT, VACATION OF

PUBLIC RIGHT 0F WAY, AND LICENSE AGREEMENT FOR PUBLIC UTILITY

EASEMENT (OUTSIDE THE CITY LIMITS

(Fax to 512-322-6101)

Attention:

Kathy Strittmatter, South Supervisor (322-6410)

Sonny Poole, North Supervisor (322-6442)

Territory boundary: Martin Luther King Blvd./FM 969

Notice: Austin Energy (AE) has the authority to use public utility easements and public rights of

way for the placement of electric facilities. AE’s approval of a release of a public utility easement

(PUE), vacation of right of way or a license agreement for a PUE is strictly in its capacity as the

electric provider. It is the responsibility of the Applicant/Property Owner to contact the owner of the

easement or right of way to obtain a formal approval.

Release

Vacation of Right of Way

License Agreement

Property Owner Name:

Property Address:

Legal Description:

TCAD Parcel Number:

Site Plan Number: Subdivision Case Number:

ATTACH THE FOLLOWING ITEMS, AS APPLICABLE:

1. Deed into current owner

2. Survey of property

3. Subdivision plat

4. Site plan

5. Copy of the easement document

6. For a License Agreement, provide survey showing location of proposed encroachment.

Additional information:

Applicant’s Name:

Mailing Address:

City: State: Zip:

Telephone No.: Fax:

Email:

Office Use Only

Date Received:

Agent:

Comments:

Austin Energy, Attention: Public Involvement/Real Estate Services, 721 Barton Springs

Room 102, Austin, Texas 78704-1194

Version 1.3.0.0

In order to process the release of an easement, it is necessary that you furnish us with the

following items:

1. An application for Easement Release completed and signed by the Applicant.

2. A survey plat, if available, of the area being requested for release showing all

property lines, improvements on the property, all easements contained on the property

with special reference to the easement to be released.

3. If the easement being requested for release was dedicated and recorded by separated

instrument, a copy of said instrument must also accompany the application. These

documents are obtainable at the County Clerk’s office in the respective county in

which the document is recorded.

4. A cover letter may include specific information not included in the above, i.e. special

circumstances or conditions such as closing dates which you believe will assist PEC

staffs in the processing of the request.

5. A processing fee of $300.00 must accompany application. Application fee is to be

paid by all applicants, including government entities. This fee is non-refundable

regardless of ultimate action by Pedernales Electric Cooperative, Inc.

Upon receipt of the above items, your request will be researched. Assuming the release can be

granted we will prepare the necessary documents. Please allow a minimum of 30 working

days for processing.

If we are unable to grant your request we will contact you immediately. If you have any

questions, please contact the District Engineering Supervisor at the office listed below or call

toll free at (888) 554-4732.

Please submit your request and direct your questions to:

Clear

PEDERNALES ELECTRIC COOPERATIVE, INC.

APPLICATION FOR EASEMENT RELEASE

PECFRMF008

1/05

PEDERNALES ELECTRIC COOPERATIVE, INC.

APPLICATION FOR EASEMENT RELEASE

Application is hereby made for the release of the following easement as described

below:

The easement is on property legally described as:

Subdivision / Section: ______________________________

Lot and Block No: _________________________________

Plat book volume/page: _____________________________

Street Address: ____________________________________

Provide common description of the easement requested for release, indicating the

amount of the easement to be released (provide a survey or plat of the area with the

area to be released highlighted)

_____________________________________________________________________

Property Owner’s Name: _____________________________________________

Mailing Address: _____________________________________________________

Telephone No: ( )_________________________________________________

(Note: if multiple owners are joining in this request, the complete names, addresses,

and phone numbers on each must be attached.)

Proposed use of area to be released (describe):

_____________________________________________________________________

The undersigned Owner/Applicant/Agent understands that processing of this

Easement Release Application will be handled in accordance with the procedure for

request of Release of Easements. It is further understood that acceptance of this

application does not obligate Pedernales Electric Cooperative, Inc. to release the

subject area.

Signed by: _______________________________

Dated: __________________________________

FOR PEC USE ONLY:

⁮ APPROVED ____________________________________

⁮ DISAPPROVED ____________________________________

BY: __________________________

TRAVIS COUNTY WATER CONTROL

AND IMPROVEMENT DISTRICT 17

3812 Eck Lane • Austin, Texas 78734

• Phone (512) 2661111 • Fax (512) 2662790

EASEMENT REQUIREMENT STATEMENT FOR VACATION OF PROPERTY

Address: __________________________________________

Legal Description: __________________________________________

__________________________________________

and as described on the enclosed drawing or document

Applicant Name __________________________________________

Address __________________________________________

__________________________________________

Statement

_____ We do not have a need for an easement on the property as described in the

accompanying document.

_____ We do have a need for an easement on the property as described in the

accompanying document. A description of the required easement is attached.

______________________________

Signature

$25.00 fee required. Deborah S. Gernes

General Manager

______________________________

Date

Please return this completed form to: ______________________________

Name

______________________________

Address

______________________________

City/State/Zip

APPLICATION FOR EASEMENT RELEASE

FOR PROPERTIES WITHIN LAKEWAY MUNICIPAL UTILITY DISTRICT

Application is hereby made for the release of the following easement(s) as described below:

Subdivision or Section: _______________________________________________

Lot and Block No: _______________________________________________

Plat book volume/page: _______________________________________________

Street Address: _______________________________________________

Provide a description of the easement requested for release, indicating the amount of the easement

to be released (provide a survey or plat of the area with the area to be released highlighted):

________________________________________________________________________________

Proposed use of area to be released (describe): __________________________________________

________________________________________________________________________________

Property Owner’s Name: ___________________________________________________________

Mailing Address: _________________________________________________________________

Telephone No.: ___________________________________________________________________

(Note: if multiple owners are joining in this request, the complete names, addresses and phone numbers on each must be included.)

APPLICANT/AGENT’S NAME: ____________________________________________________

APPLICANT’S ADDRESS: ________________________________________________________

PHONE: ______________________________ FAX: ________________________________

The undersigned Owner/Applicant/Agent understands that the processing of this Easement Release

Application will be handled in accordance with the Procedure for Requesting Release of Easements

established by Lakeway MUD. It is further understood that acceptance of this application does not

obligate the MUD to release the subject area.

Signed by: ___________________________________________

Land Owner/Applicant/Agent

Amount Due Amount Received Date Received Received by

$50.00

Revised 1/15/04

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Fillable Form 21405 (City of Lakeway)

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