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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
APPLICATION FOR SUBDIVISION OR DEVELOPMENT
(CHECK ONE & INCLUDE NECESSARY SUPPORTING MATERIAL)
INAL PLAT/RE-PLAT
LAT AMENDMENT
LAT VACATION
RELIMINARY PLAN
ITE DEVELOPMENT
UBDIVISION IMPROVEMENT
MALL PROJECT
TILITY DEVELOPMENT
LAN REVISION
DDRESS OF
ROPERTY
CREAGE OF
ITE
EGAL
ESCRIPTION
UBDIVISION
ECTION
OT
UMBER
ROPERTY
WNER
IRM
ONTACT
AME
ELEPHONE
AIL
AILING
DDRESS
ITY
TATE
IP
ODE
ROJECT
NGINEER
IRM
ONTACT
AME
ELEPHONE
AIL
AILING
DDRESS
ITY
TATE
IP
ODE
ROJECT
AME AND
SE FOR WHICH
EVELOPMENT
ERMIT IS
OUGHT
(F
OR CITY USE ONLY)
UBMITTAL
ERIFICATION
NSPECTION
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.
ERMIT
UMBER
MOUNT
ECEIVED
OTES
PPLICANT
IGNATURE
RINTED
AME
ATE
click to sign
signature
click to edit
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