   
ONLINE ANNEXATION APPLICATION
Development Name: __________________________________________________________Development Address: __________________________________________________________City: ______________________________ State: Texas Zip: __ __ __ __ __ - __ __ __ __ Acres: __ __ __ __ __ . __ __ __ __ Comments: __________________________________________________________________________________________________________________________________________ServiceHow many Units Requesting Water Service _____ Average Size of Units ___________How many Units Requesting Sewer Service _____ Average Size of Units ___________Comments: ____________________________________________________________________________________________________________________________________________PropertiesHow many Residential Units _____ Average Size of Units ___________How many Commercial Units _____ Average Size of Units ___________ How many Multi-Unit Units _____ Average Size of Units ___________How many Industrial Units _____ Average Size of Units ___________ Any Special Land Uses, Common Lots, parks, ect...____________________________________________________________________________________________________________________Schedule for DevelopmentStart Date: __ __ / __ __ / __ __ __ __ End Date: __ __ / __ __ / __ __ __ __Comments: ____________________________________________________________________________________________________________________________________________Developer Name: ________________________________ Contact: _____________________Developer Address: _____________________________________________________________City: __________________________ State: ________ Zip: __ __ __ __ __ - __ __ __ __ Phone: (__ __ __) - __ __ __ - __ __ __ __ Phone: (__ __ __) - __ __ __ - __ __ __ __Cell: (__ __ __) - __ __ __ - __ __ __ __ Fax: (__ __ __) - __ __ __ - __ __ __ __Comments: __________________________________________________________________________________________________________________________________________Owner Name: __________________________________ Contact: _____________________Owner Address: _____________________________________________________________City: __________________________ State: ________ Zip: __ __ __ __ __ - __ __ __ __ Phone: (__ __ __) - __ __ __ - __ __ __ __ Phone: (__ __ __) - __ __ __ - __ __ __ __Cell: (__ __ __) - __ __ __ - __ __ __ __ Fax: (__ __ __) - __ __ __ - __ __ __ __Comments: ____________________________________________________________________________________________________________________________________________Lien Holder Name: ________________________________ Contact: _____________________Lien Holder Address: ____________________________________________________________City: __________________________ State: ________ Zip: __ __ __ __ __ - __ __ __ __ Phone: (__ __ __) - __ __ __ - __ __ __ __ Phone: (__ __ __) - __ __ __ - __ __ __ __Cell: (__ __ __) - __ __ __ - __ __ __ __ Fax: (__ __ __) - __ __ __ - __ __ __ __Comments: _____________________________________________________________________________________________________________________________________________
Additional Comments or issues for Board Consideration: ____________________________________________________________________________________________________________
_________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________For Office use Only:Map ID: __ __ __ . __ Application ID: __ __ __ __ __ - __ __ - __ __ __ __ - __ __ Received on: __ __ / __ __ / __ __ __ __ $100.00 Filing Fee Ref Number: ____________________________
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