Ord 2004-037 - Laserfiche WebLink

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t'none: <.·r.... . ····.··.....·.....<i..City~f!f .lj~9fl~~tf()rQ·fl(~()tfÇ.!tY\1!~! k:fh¿VtZlXV.d~{M4Vf r Ma.,vu¡s Pig , +U5 (;,llr ~ /fVttvVUiS IY 7 gí&lt '~qJ-- &~~q ·102. Name: r-1ress: I. Location: iJlJd~ ud l.t>YNV SuzjJgf;f··fiÎ;º¡¿~ílIÆ¡¡<· Df, -Hw~ qD eu-J ~ ßI¿¿Ml.{) ~'V4 Ud~.r-'- Tax ID Number: o Industrial ixn Other J-! Development Name & Developer (if applicable) Total Acreage: Î DJ; Proposed Use: tp Residential ~ Commercial Water Service Area (CCN): ~. I'V'l.Mw5 Service Requested: IÄI Wastewater f¡lI Water Estimated Utility Demand: . {t;v .- C;oo UA-G- is f'WÏ.Xi d IA.~ No e: You must attach all of the followin as a licable before the a lication will be rocessed: Calculations for average and peak flow conditions foreach service requested. Œ A map and legal description (from deed or survey) of the subject property. @"A written request for annexation from each property owner along the route of the extension (if the subject property is not contiguous to the existing city limits). The area for which annexation is requested must be at least 15 feet in width. A legal description must accompany each request. Recording fees of $9 for this form plus $2 for each attached page. Please make checks payable to "County Clerk", I hereby certify under oath that all of the information presented in this application is accurate and complete. I understand all of the following policies of the City of San Marcos regarding out-of-city water and wastewater utility extensions: 1. All costs for utility extensions and connections are to be borne by the owner. 2. Wastewater service extensions are not allowed unless City water service is used (subject to variance approved by the City Council). 3. The owner must consent to annexation of the subject property by the City. 4. The owner must present written requests for annexation of an area at least 15' in width from each property owner along the intended route of the line extension if the subject property is not contiguous to the existing city limits. 5. Extensions are subject to all City construction standards and oversizing policies. 6. Extensions must be made in public utility easements or public rights-of-way. If an easement or right-of-way is not in place, the applicant must acquire an easement on behalf of the city. The form of the easement is subject to approval by the city. In consideration of the City's approval of this application, I hereby petition the City for annexation of the subject property, and l.certify that I am either the owner of the subject property, or the duly authorized agent of the ow r f the subject property. I understand that this consent to annexation will be binding on the current and future owners of s bj property, arid that this consent will be recorded in the official county records if this request is approved. Signature: Printed Name: 'State of I Ut<. ç County of ---.:..Hz¡ 5 .. -Y0RN TO AND SUBSCRIBED before me on / s+"" '" JiA M Jtð\4ate) by -k~Je{f [~4f;b<Wn rsonally to me, or proved to me by a photo identification, to b the person who executed this instrument. 7t rS~ ~ ¡' ,,,UI, I, /tt.~~ ]! \~...~~.~J ......1 ""¡;¡h'.~" :~ ¡ "",l(t.,~\" FRANCIS SERNA MY COMMISSION EXPIRES June 12, 2007 Notary Public, State of I V¡.a š. EXHIBIT "B" foml JJí7/2003