Vacate Right-of-Way/Public Utility
Easement/Land/Street Application
Project Number:_______________________
Case Number:________________________
Applicant (if acting as Agent, see affidavit on page 2)
Printed Name:
Phone ( )
Email
Address
City
State
Zip
Digital Copies of Survey (PDF/JPEG)
City of Midland
Atmos Energy
Oncor Electric
AT&T
Suddenlink Cable TV Co.
Grande Communications
**Application will not be considered for scheduling until reviewed by a planner.**
Vacation Application 2 Revised 07/02/19
Applicant (signature):
Date:
Signature:
Print:
Date:
Signature:
Print:
Date
Signature:
Print:
Date
Signature:
Print:
Date
1 FOLDED Copy of Survey
Survey in Digital Format (PDF/JPEG)
Application Fee
Check #_____________________
Received By:
Date: