Fillable Special Exception Application (City of Midland Texas)

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Special Exception Application (City of Midland Texas)

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The Special Exception Application (City of Midland Texas) form is 2 pages long and contains:

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  • 3 check-boxes
  • 34 other fields

Country of origin: US
File type: PDF

U.S.A. forms for City of Midland Texas

BROWSE CITY OF MIDLAND TEXAS (TX) FORMS

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Special Exception Application
Project Number:_______________________
Case Number:________________________
Applicant (if acting as Agent, see affidavit on page 2)
Printed Name:
Phone ( )
Email
Address
City
State
Zip
Property Owner
Printed Name:
Phone ( )
Email
Address
City
State
Zip
Representative (if different from Applicant or Property Owner)
Firm: ________________________________________________________
Printed Name:
Phone ( )
Email
Address
City
State
Zip
**Application will not be considered for scheduling until reviewed by a planner.**
Special Exception Application 2 Revised 08/19/20
Applicant (signature):
Date:
Property Owner (signature):
Date:
If an agent is authorized by the property owner to file and execute the application on behalf of the property
owner, the agent must complete the affidavit below.
STATE OF TEXAS
COUNTY OF MIDLAND
Before me, the undersigned authority, on this day personally appeared ___________________________ who, being by
me duly sworn, upon oath says: That (s)he is authorized by __________________________, the owner of the above
described property, to fully represent him/her in this application and that (s)he had the legal right, power and authority to
sign said owner’s name hereto as his/her attorney in fact.
______________________________________
Authorized Agent (signature)
Subscribed and sworn to before me, this _____ day of ________________, 20 ___, to certify which witness
my hand and seal of office.
____________________________________________
NOTARY PUBLIC, MIDLAND COUNTY, TEXAS
□ Property Owner Authorization
□ Dimensioned Site Plan
□ Application Fee
□ Plans in Digital Format (PDF/JPEG)
Check #_____________________
Received By:
Date:
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Special Exception Application (City of Midland Texas)

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Completed 23 January 2021

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