Fillable Specific Use Designation with Term for the Sale (City of Midland Texas)

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Specific Use Designation with Term for the Sale (City of Midland Texas)

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The Specific Use Designation with Term for the Sale (City of Midland Texas) form is 2 pages long and contains:

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File type: PDF

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

BROWSE CITY OF MIDLAND TEXAS (TX) FORMS

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Specific Use Designation with
Term for the Sale of Alcoholic
Beverages for On-Premises
Consumption
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
Street Address:
Business Name:
Legal Description
Lot: Block: Subdivision:
Current Zoning:
Reason for Request:______________________________________________________________
Type of Business (restaurant, bar, lounge, nightclub, etc.):
Proposed/Current Days and Hours of Operation: ______________________________________
Proposed Days and Hours of Alcohol Service: ________________________________________
Total Square Footage of Business:
Square Footage of Alcohol Serviceable Area:
Men
Toilets/Urinals: /
Bathroom Sinks:
Women
Toilets:
Bathroom Sinks:
**Application will not be considered for scheduling until reviewed by a planner.**
SUD Alcoholic Beverages Application 2 Revised 07/02/19
Submittal and Fees
Items to be submitted with this application form:
Application Fee – Payable to the ‘City of Midland’
Dimensioned Floor Plan showing:
Seating
Kitchen (if applicable)
Exits
Total Square Footage
Restrooms
Serviceable Square Footage
Dimensioned Site Plan showing:
Parking
Business Footprint
Digital Copies of Floor Plan & Site Plan (PDF/JPEG)
Signatures
Applicant (signature):
Date:
Applicant (printed):
Property Owner (signature):
Date:
Property Owner (printed) :___________________________________________________________________
The Specific Use Designation with Term for the sale of all alcoholic beverages shall be considered officially received in
the Planning office only when it has been submitted in full compliance with the provisions of Section 212 of the Texas
Local Government Code and the Zoning Code of Ordinances of the City of Midland and when such required items for
the application are also received.
All materials, including exhibits, submitted in support of an application, or displayed during a public hearing, shall remain
the property of the City of Midland.
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
**Application will not be considered for scheduling until reviewed by a planner.**
SUD Alcoholic Beverages Application 3 Revised 07/02/19
FOR OFFICE USE ONLY
□ Property Owner Authorization
□ Dimensioned Floor Plan
□ Application Fee
□ Site Plan
Check #_____________________
□ Plans in Digital Format (PDF/JPEG)
Received By:_____________________________________________
Date:__________________________
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Specific Use Designation with Term for the Sale (City of Midland Texas)

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Completed 23 January 2021

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