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Application for Special Exception

2. First Name

3. Last Name

5. Address1

7. Address2

9. City

10. State

11. Zip

13. Home Phone

14. Work Phone

15. Cell Phone

17. Site Address

18. Zoning

20. City

21. State

22. Zip

24. Site Plan Attached

    1. Yes
    2. No

    Plans Drawn to Scale

25. Date Filing Fee Paid
    Date Filing Fee Paid

    $150 Filing Fee

26. Upload Site Plan

28. Meeting Date
    Meeting Date

    Proponent or agent shall be present at the hearing.

30. Requested Special Exception

    Please describe in detail the reason for the requested special exception. Conditions for granting a special exception, are also provided in Section 98(63)(e) of the City of Brownwood Code of Ordinances which are available in their entirety at City Hall or below.

32. Conditions for Exception
    Exception Requirements (PDF)

34. Any special exception granted by the Board of Adjustment shall authorize the issuance of the building permit for a period of 180 days from the date of favorable action unless said Board shall have approved a longer period of time and shown such specific longer period in the minutes of its action.

36. My signature below certifies that I have read the application and know the same to be true and correct.

    Owner/Authorized Agent Signature

37. Date
    Date

39. Received By

40. Date
    Date

42. Development Services Administrator

43. Date
    Date

45. Division Director of Public Works

46. Date
    Date

Leave This Blank:


48. 1. Receive an email copy of this form.
49. Email address

    This field is not part of the form submission.

50. Submit

* indicates a required field