Fillable (OFFICE USE ONLY) BRAZOS COUNTY ROAD AND BRIDGE (Brazos County, Texas)

Fill Online, Printable, Fillable, Blank (OFFICE USE ONLY) BRAZOS COUNTY ROAD AND BRIDGE (Brazos County, Texas) Form

Use Fill to complete blank online BRAZOS COUNTY, TEXAS (TX) pdf forms for free. Once completed you can sign your fillable form or send for signing. All forms are printable and downloadable.

(OFFICE USE ONLY) BRAZOS COUNTY ROAD AND BRIDGE (Brazos County, Texas)

On average this form takes 10 minutes to complete

The (OFFICE USE ONLY) BRAZOS COUNTY ROAD AND BRIDGE (Brazos County, Texas) form is 2 pages long and contains:

  • 0 signatures
  • 7 check-boxes
  • 35 other fields

Country of origin: US
File type: PDF

U.S.A. forms for Brazos County, Texas

BROWSE BRAZOS COUNTY, TEXAS (TX) FORMS

Related forms
Fill has a huge library of thousands of forms all set up to be filled in easily and signed.
Fill in your chosen form
Sign the form using our drawing tool
Send to someone else to fill in and sign.
find another form
 
PERMIT#____________________
(OFFICE USE ONLY)
BRAZOS COUNTY
ROAD AND BRIDGE DEPARTMENT
APPLICATION FOR JUNKYARDS, AUTOMOTIVE WRECKING AND SALVAGE YARDS
LICENSE
This application will expire (1) year from date issued.
The undersigned hereby makes renewal application for:
Operation of a junkyard
Operation of a salvage yard
Operation of an automotive wrecking yard
****This form must be completely filled out to be accepted. Please type or print all information. A check, cash or money order for $25.00 must
accompany this renewal application. A current driver’s license must be provided for a copy to be kept on file. There will be no refunds once this renewal
application is submitted.
Name of Business/Operation: _________________________________________________________________________________________________
Site Address: ______________________________________________________________________________________________________________
City: _______________________________State:__________________ Zip: _______________________ Phone: _____________________________
Mailing Address: ___________________________________________________________________________________________________________
City: _______________________________State:__________________ Zip: _______________________ Phone: _____________________________
Name of Applicant: _________________________________________________________________________________________________________
Applicant’s
Residential
Address::_________________________________________________________________________________________________________________
City: _______________________________State:__________________ Zip: _______________________ Phone: _____________________________
Location of deed recorded in Property Records of Brazos County, Texas
Page Number: _________________________________________ Volume Number:___________________________________________________
Exact Legal Description of Proposed Operation: ________________________________________________________________________________
______________________________________________________________________________________________________________________
______________________________________________________________________________________________________________________
Is the applicant a partnership? No Yes If yes, please provide the name, mailing address, residential street address and business
street address for each member of the partnership.
Name: __________________________________________________________________________________________________________________
Address: ________________________________________________________________________________________________________________
City: _______________________________State:__________________ Zip: _______________________ Phone_____________________________
Is the applicant a corporation? No Yes If yes, please provide the name, mailing address, residential street address and business
street address for each officer and director of the corporation and the name and address of process on the registered agent of the corporation.
Name: __________________________________________________________________________________________________________________
Address: ________________________________________________________________________________________________________________
City: _______________________________State:__________________ Zip: _______________________ Phone: ____________________________
Additional Documents Required:
1) If an assumed name (d/b/a) is used, a date-stamped copy of Certificate of Assumed Name
2) If the applicant is a general partnership, a copy of the fully executed partnership agreement
3) If the applicant is a limited partnership, a date-stamped copy of the Certificate of Limited Partnership
4) If the applicant is a corporation, a date-stamped copy of the Articles of Incorporation filed with the Secretary of State and a certified copy
of the
corporate resolution authorizing the corporation to file an application pursuant to these rules and designating the officer authorized to execute
the application.
5) If the appl
icant is not the owner in fee simple of the proposed yard, a properly executed power of attorney or other written evidence of the
agency agreement between the applicant and the owner.
*Applicant agrees to comply with The Brazos County Order Establishing Rules For Junkyards, Automotive Wrecking And
Salvage Yards.
__________________________________________________ Date _________________________
Signature of Owner
Acknowledgments Required for Renewal License:
“The location in the renewal application is the same land area and geographic location as that approved by the Commissioners’ Court in the initial
application” __________ Initials
“The license has never been revoked and is not suspended or expired on the date of application.” ______Initials
“The junkyard or automotive wrecking and salvage yard is in operation on the date of the application for the renewal.” ______ Initials
“All of the information contained in this application is true and correct to the best of the applicant’s knowledge and belief.” ______ Initials
“Applicant acknowledges that the license applied for shall be subject to all provisions of the codes and ordinances of Brazos County relating to junkyards
and automotive wrecking and salvage yards and shall be subject to all provisions of the codes and statutes of the State of Texas.”
________ Initials
__________________________________________________ Date _________________________
Signature of Owner
________________________________
Owner’s Driver License Number
ACKNOWLEDGMENT
ST
ATE OF TEXAS
COUNTY OF BRAZOS
Before me, the undersigned authority, on this day personally appeared________________________________ known to me to be the person(s) whose
name(s) is/are signed to the foregoing application and duly sworn by me, each states under oath that he had read the said application and that all facts
therein set forth are true and correct. Sworn to before me, this _____________day of_______________________________________20___________
______________________________________________
NOTARY PUBLIC
APPROVAL OF RENEWAL APPLICATION:
APPROVAL____DISAPPROVAL____DATE____________INSPECTOR___________________________________
COMPLIANCE: This form must be completely filled out in blue or black ink to be accepted.
Download
Save PDF to desktop
Email
Email completed PDF
Send for Signing
Email for others to sign
Print
Print document
Choose a Field
Click on a field and
select the person that should complete it
Want to add a signature?
You can add a signature field
and assign it to someone else
to sign
Choose a Field
Click on a field and
select the person that should complete it

(OFFICE USE ONLY) BRAZOS COUNTY ROAD AND BRIDGE (Brazos County, Texas)

This document is locked as it has been sent for signing.

You have successfully completed this document.

Other parties need to complete fields in the document. You will recieve an email notification when the document has been completed by all parties.

This document has been signed by all parties.

Completed 30 January 2022

Message

View Audit Log
Print With Audit Log
Duplicate Document