Fillable WATER USE VARIANCE APPLICATION (City of Midland Texas (TX))

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WATER USE VARIANCE APPLICATION (City of Midland Texas (TX))

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The WATER USE VARIANCE APPLICATION (City of Midland Texas (TX)) form is 1 page long and contains:

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  • 10 check-boxes
  • 21 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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Page 1 of 1 Ver: 6/16/11
WATER USE VARIANCE APPLICATION
Applicant(s) Address: _____________________________________________________________________
Applicant (s) Name: _________________________________________ Phone: ______________________
What is the purpose of the water use?
______________________________________________________________________________________
______________________________________________________________________________________
From what Specific Provision(s) of the Drought Contingency Plan are you requesting relief?
Days of watering? Hours of watering? Dust Control during Construction?
Washing of vehicles? Use of a fire hydrant? Water for a fountain / pond?
Golf course irrigation? Water for swimming, wading or spa pools?
Serving unrequested water in restaurants? Other ______________________________________
How will the selected Provision(s) above adversely affect you?
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
Describe the specific relief you are requesting?
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
How long do you want the variance? No. of Days? ________ (30 days maximum)
Starting Date: ______________ Ending Date: ______________
What alternative ways do you propose to take that will meet the requirements of the Plan?
______________________________________________________________________________________
______________________________________________________________________________________
What other pertinent information can you add to justify the issuance of this variance?
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
Signature: ______________________________________________________ Date: _________________
City Use: Variance approved? Yes No
Reason:
By: Date:
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Note: All information provided on this form is subject to the Texas Public
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WATER USE VARIANCE APPLICATION (City of Midland Texas (TX))

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Completed 13 July 2020

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