Certificate of Determination Page 1 of 1 Revised: 5/21/2020
Section 35-430(c) and Section 35-515 of the UDC allows exceptions to platting requirements. If the site meets one of
these plat exceptions, a Certificate of Determination maybe issued to the owner of the subject property.
PROPERTY OWNER INFORMATION
Owner or Company Name:
Point of Contact:
Mailing address:
Telephone: Home/Office: ( ) - Mobile: ( ) -
Other phone: ( ) - Email:
PROPERTY INFORMATION
Property physical address:
Legal Description: NCB/CB: Block: Lot/Parcel:
County: Total Acreage: ____________ Zoning: ___________
REQURIED INFORMATION:
1. Proposed Use: Residential Non-Residential Uninhabitable Use
2. Inside City Limits Outside City Limits / Extra Territorial Jurisdiction (ETJ)
3. Reason For Requesting Certificate of Determination: ____________________________________________
4. Type of Service Requested:
Water Service Sewer Service Electric Service Building Permit
Other specify Permit#_________________
5. Number of existing residential structures located on the property:
Required Documents:
Current Warranty Deed (Show ownership & legal description of property)
Warranty Deed If Tract was Created Prior To January 1, 2005
Survey, Map, and/or Drawing (Showing size, shape,
and location of property)
Current Tax Certificate www.bexar.org/tax, Forms, Tax Certificate Request
Non- Refundable Two hundred dollar fee ($200.00)
$10 Land Development Convenience Fee if not submitted through Build-SA
I hereby certify that all of the information on the entire COD Application is true and correct.
Print Name: Signature: ____________________________________
Date: Owner Agent (Requires a notarized Letter of Agent.)
Note: Certificates are only issued in the name of the owner of the property.
CITY OF SAN ANTONIO
DEVELOPMENT SERVICES DEPARTMENT
LAND ENTITLEMENTS SECTION
CERTIFICATE OF
DETERMINATION REQUEST FORM
Official Use Only
COD # Planner Approved Denied
Zoning: _________________ Original 36 Miles: Y/N Flood Plain: Y/N Parcel#_________________
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