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2. OWNERS FIRST NAME*
3. OWNERS LAST NAME*
5. OWNERS MAILING ADDRESS*
7. City*
8. State*
9. Zip*
11. REQUESTOR'S FIRST NAME*
12. REQUESTOR'S LAST NAME*
14. REQUESTOR'S MAILING ADDRESS*
16. City*
17. State*
18. Zip*
20. PHONE*
21. EMAIL*
23. LOCATION OF DEVELOPMENT:
25. Any new installation will need to obtain an address from the:
    Brazos County Emergency Communications District
26. For help with the Property ID or Legal Description, Contact the:
    Brazos County Appraisal District
28. DEVELOPMENT ADDRESS*
29. City*
30. Zip*
32. SUBDIVISION NAME
33. LOT#
34. BLOCK#
35. PHASE
37. OR
39. ACREAGE*
40. PROPERTY ID#*
41. Legal Description:*
43. ARE YOU THE:*
    -- Select One --Property OwnerBuilderSeptic InstallerSurveyorEngineerArchitect
44. NATURE OF THE PROPOSED DEVELOPMENT:*
    -- Select One --ResidentialCommercial
46. DESCRIPTION OF PROPOSED DEVELOPMENT (Check all that apply):*

    1. New Construction
    2. Improvement
    3. New Septic
    4. Replacing Septic
    5. House
    6. Manufactured House
    7. Storage Shed
    8. Pool
    9. Paving
    10. Other
48. Provide a brief description of project:*
50. Number of Proposed Structures:*
    -- Select One --One StructureTwo StructuresMore StructuresNo Structure - Other Development type
52. Could your development be a...
    Manufactured Home Rental Community: A lot or tract of land that is separated into two or more spaces or lots that are rented leased, or offered for rent or lease, for a term of less than 60 months without a purchase options for the installation of manufactured homes for use and occupancy as residences.
54. Is it a Manufactured Home Rental Community:*
    -- Select One --YES! It is.NO! Is is not.
56. Will this new structure will need a driveway located on a Brazos County Road:

    1. YES - I will make sure to fill out a Brazos County ROW access permit. * See Below*
    2. NO - I will not need a driveway off of a Brazos County road.
58. Brazos County ROW Access Application Form
    Brazos County ROW Access Application Form
60. Upload Site Plan
    Locate and Choose your project site plan for review.
61. Upload Elevation Certificate
    Locate and Choose your project Elevation Certificate for review.
62. Upload Plans
    Locate and Choose any other Plat or Plans that may aid in permit review.
Leave This Blank:


64. 1. Receive an email copy of this form.
65. Email address

    This field is not part of the form submission.

66. Submit Submit and Print

* indicates a required field