PROPERTY INFORMATION
APPLICANT INFORMATION
REQUIRED
REQUIRED
Plat Application
13000 William Dodson Pkwy
Farmers Branch, TX 75234
Ph: (972) 919-2597
Property Owner: ____________________
Owner Signature:
(print name legibly or type)
Owner
Address: City: State Zip:
Owner
Email:
Telephone:
Primary Contact:
Engineer/Surveyor Firm:
Engineer Surveyor Owner
Address:
________
City:
State:
Zip:
Email: Telephone:
Development Name:
Address/Site Location:
Survey
Name:
Abstract
Number:
Existing
Zoning: Total Acreage:
Total Lots (including HOA) / HOA Lots: ________/_______
Purpose
for
Platting:
Is this an existing subdivision or part of a subdivision being replatted? Yes No If yes, provide the following:
Subdivision
Name:
Date
Filed or Instrument No. :
Number
of
lots
within
original
subdivision:
Volume:
Page:
Plat applications are deemed complete when all applicable City Departments and utility
companies have reviewed the Plat and all requirements are fulfilled.
Applicant and/or assigned representative shall be the principal person for responding to all
requests and attending all meetings.
Applicant and/or assigned representative is responsible for filing plat with Dallas County and
paying county fees.
Applicant is responsible for returning filed and recorded copies, including mylar, within 10
business days after approval, for final CO permit.
OFFICE USE ONLY
This application received by:
_____________________________
Print Name & Title Date
1 of 2 | P a g e Plat Application 09/2019
Case File ID:
Record Date:
SUBMITTAL CHECKLIST

Completed Application including signatures

Copies of plats: Three (3) copies, 24” X 36” (folded) black line prints;
one (1)
PDF on disk or one (1) PDF on thumb drive

Filing Fee:
$500 + $10/lot Single Family Residential (includes HOA lots)
$500 + $35/acre Multi-Family Residential & Non-Residential
$500 + the additional per lot or per acre multiplier Mixed Use
Total $_______________
*** Filing fee check made payable to: City of Farmers Branch ***

Copy of Vesting Deed

Boundary closure statement

Completed Plat
Checklist
(Not Submittal Checklist)
2 of 2 | P a g e Plat Application 09/2019
Owner Acknowledgements
CHECK ONE OF THE FOLLOWING:
I will represent the application myself; or
I hereby designate _________________________ (print name of project representative)
to act in the capacity as my agent for filing, processing, representation, and/or
presentation of this plat application. The designated agent shall be the principal
contact person for responding to all requests for information and for resolving all
issues of concern relative to this application.
I hereby certify that I am the owner of the property and further certify that the information
provided on this Plat application is true and correct. By signing below, I agree that the City of
Farmers Branch (the “City”) is authorized and permitted to provide information contained
within this application, including the email address, to the public. The City is authorized and
permitted to reproduce any copyrighted information filed in connection with the application,
if such reproduction is associated with the application in response to a Public Information
Request.
Owners Signature________________________________________ Date: _________________________
STATE OF TEXAS
COUNTY OF ________________
BEFORE ME, a Notary Public, on this day personally appeared ________________________, the
above signed, who under oath, stated the following: I hereby certify that I am the owner or
authorized corporate representative for the purpose of this application; that all information
submitted is true and accurate.
GIVEN UNDER MY HAND AND SEAL OF OFFICE, this ____ day of ______, 20____.
My Commission Expires: ________________________
_______________________________________________
Notary Public in and for the State of Texas