HomeMy WebLinkAboutEasement EASEMENT DEDICATION SHEET
To be filled in and submitted with construction plans and specifications for preliminary review
(Not to be used where City is purchasing property)
THIS SECTION TO BE COMPLETED BY CITY STAFF
PROCESSED BY: DEPT. EXT.
REQUESTED BY: DEPT. EXT.
ACCOUNT NO. PROJECT NO.
(For ordering title work,appraisals,etc.)
TYPE OF EASEMENT:
Public Utilities(PUE) Temporary Blanket PUE Electric Only
(prior to building permit) Water Only
PURPOSE FOR EASEMENT:
REVIEW AND APPROVAL REQUIRED/GIVEN BY THE FOLLOWING DEPARTMENTS:
Approval Required By: Electric Approval Given By: Electric
(please initial) Water/WW (please initial) Water/WW
Asst. City Engineer Asst. City Engineer
Public Works Public Works
METES&BOUNDS DESCRIPTION CHECKED FOR CLOSURE BY:
(City Staff-Name/Dept.)
THIS SECTION TO BE COMPLETED BY APPLICANT
PROPERTY OWNER(S): Copperpointe Partnership
(Names must be exactly as they appear on the deed)
ADDRESS: 304 E. Blue Bell Road PHONE NUMBER: (979)836-6131 or(979)846-8980
ALL LENDERS(Please furnish copies of all lien documents):
(Names and Addresses)
IF OWNER IS A CORPORATIOI PARTNERSHIP, R JOINT VENTURE(also see#5 below):
1. State of Incorporation/Registration Texas
2. Partners' Names(if applicable) 304 East Horton Limited Partnership and Joseph Gorzycki
3. Person Authorized to Sign Joseph Gorzycki, General Partner
(Name and Title)
LEGAL DEPARTMENT MUST BE PROVIDED WITH THE FOLLOWING:
(Please check items that are attached)
X 1. A copy of a recent(within 90 days)deed or title insurance policy showing the names of the grantors/owners;and
N/A 2. For unplatted property, a signed, sealed and dated metes and bounds description and a diagram of the property
showing the location of the easement;or
X 3. For platted property,a copy of the plat showing the lot,block,subdivision,and recording information.
X 4. For blanket easements,a signed,sealed and dated metes and bounds description and a diagram of the property.
X 5. Corporate or partnership owners must furnish a copy of a corporate resolution or other proof of authority to sign on behalf
of the corporation,partnership,or joint venture.
X 6. Name,address and phone number of person who is to receive the easement and be responsible for getting It executed:
Diane Lorden, P.E., Jones and Carter, Inc.
700 University Drive East, Suite 110-C. College Station, Texas 77840 (979) 731-8000
Any land acquisition resulting from Capital Improvement Projects requires a meeting with the Legal Department.
dsls:l0 joblc0007 williamson archlc0007-005-00 ssc&Itcicityleasement dedication form.doc