Temporary Land Use Application
Project Number:_______________________
Case Number:________________________
Event Name:
Applicant (if acting as Agent, see affidavit on page 2)
Printed Name:
Phone ( )
Email
Address
City
State
Property Owner
Printed Name:
Phone ( )
Email
Address
City
State
Representative (if different from Applicant or Property Owner)
Firm: ________________________________________________________
Printed Name:
Phone ( )
Email
Address
City
State
Street Address:
Legal Description
Lot: Block: Subdivision:
Current Zoning:
Type of Temporary Use Requested:
Description of Event:______________________________________________________________
________________________________________________________________________________
Duration of Temporary Use:________________________________________________________
If event lasts for more than (1) day and is located within any residential district or is located within 1,000 feet of any
residential district, then a public hearing is required.
Proposed Days and Hours:_________________________________________________________
Will alcoholic beverages be sold? Yes No
If yes, you must comply with all Texas Alcoholic Beverage Commission (TABC) regulations for the event.
Are you requesting the temporary closure of any streets? Yes No
If yes, you must:
A. Complete the “Special Event and Street Closure Application”, available from the Planning Division
(4
th
Floor, City Hall), as well as submit a Traffic Control Plan” to the Transportation Division (5
th
Floor, City Hall).
B. Provide the City with a general liability insurance certificate, naming the City as an Additional
Insured, in the amount of one million dollars ($1,000,000) for the term of the closure.
**Application will not be considered for scheduling until reviewed by a planner.**
Temporary Land Use Permit Application 2 Revised 8/13/19
Number of Peace Offices Provided: __________
Contact the Midland Police Department to schedule off-duty police officers.
Type of Music (carnival, live, etc.):
Showmobile (portable stage) Requested: Yes No
Days & Hours:
Number of Restroom Fixtures Provided:
Men
Toilets/Urinals: /
Bathroom Sinks:
Women
Toilets:
Bathroom Sinks:
Unisex
Toilets:
Bathroom Sinks:
Submittal and Fees
Items to be submitted with this application form:
Application Fee Payable to the ‘City of Midland’
Damage Deposit
Clean-Up Deposit
1 FOLDED Copy of Site Plan*
Digital Copies of Site Plan (PDF/JPEG)
*Should show existing buildings, parking, access arrangements, surrounding streets, activity areas, areas of alcoholic
beverage sales, proposed street closures, etc.
Signatures
Applicant (signature):
Date:
Applicant (printed):
Property Owner (signature):
Date:
Property Owner (printed):
Representative (signature):
Date:
Representative (printed) :___________________________________________________________________
The Temporary Land Use Permit 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.
**Application will not be considered for scheduling until reviewed by a planner.**
Temporary Land Use Permit Application 3 Revised 8/13/19
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
FOR OFFICE USE ONLY
Property Owner Authorization
Liability Insurance (Street Closure)
Dimensioned Site Plan
Traffic Control Plan (Street Closure)
Plans in Digital Format (PDF/JPEG)
Clean-Up Deposit
Check #_____________________
Application Fee
Damage Deposit
Check #_____________________
Check #_____________________
Received By:
Date:
Check #_____________________
Administrative Approval