THE CITY OF
BALCH SPRINGS
GROWING COMMUNITY
OFFICE USE ONLY Date Received:
Complete this application in its entirety and submit pages 4 and 5 along with the required materials (including any required supplements) as listed on page 2 to the address below:
City of Balch Springs
Planning & Zoning Department
13503 Alexander Road
Balch Springs, Texas 75181
Case Number: DP ___ - ___ ___ ___
1. PROPERTY INFORMATION
Address or Location ___
Legal Description _____ Zoning District _____
Current Land Use ___
Proposed Land Use ___
The proposed use will be in: ☐ an existing building ☐ a new addition ☐ a new building
2. PROPERTY OWNER INFORMATION (an individual or a legal entity may be listed as owner)
Owner's Name ___
Address ___ City ___ State ___ Zip ___
Phone ___ Email ___
3. APPLICANT INFORMATION (if different from owner)
Applicant's Name ___
Address ___ City ___ State ___ Zip ___
Phone ___ Email ___
4. APPLICANT AGENT INFORMATION (if different from applicant)
Agent's Name ___
Address ___ City ___ State ___ Zip ___
Phone ___ Email ___