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- City Use Only - <br />CITY OF LA PORTE PLANNING DEPARTMENT <br />Rec’d by: _________________ Date: ___________________ <br />604 West Fairmont Parkway, La Porte, TX 77571 <br />Phone: 281.471.5020, Fax: 281.470.5005 <br />Date of Initial Review Meeting:________________________ <br />www.laportetx.gov <br />Date of Internal Review Meeting: ______________________ <br />Request Meets Policy Guidelines?: Y or N <br />APPLICATION for WATER / SEWER SERVICE to COMPANIES <br />Date of Notification to Company: ______________________ <br />WITH AN INDUSTRIAL DISTRICT AGREEMENT (IDA) <br />Note: Submittal of partial or incomplete information may delay processing of your application <br />1.) COMPANY NAME (per Applicant’s IDA w/ City): 2.) *SITE TENANT (if other than “Company”): <br />CarsonBayport3,LLC <br />Name:_______________________________________________ Company Name:___________________________________________ <br />713-360-7934713-213-1485 <br />Phone #:________________________________________ _____ Phone #__________________________________________________ <br />Fax #:_______________________________________________ Fax #:____________________________________________________ <br />grollo@carsoncompanies.com <br />E-Mail: _________________________________________ _____ Address:__________________________________________________ <br />9821KatyFrwy,Ste440 <br />Company Address:_____________________________________ _________________________________________________________ <br />Houston,Texas77024GrantRollo <br />_____________________________________________________ Contact Name: _____________________________________________ <br />3.) PROPERTY DATA (If available, include any survey, plat, site plan, map or sketch of the subject site with this form): <br />*Company’s Industrial District Agreement No.: 2007 – IDA - ______________ <br />4311MaloneDrive,Pasadena,Texas77507 <br />*Site Address:_____________________________________________________________________________________________________ <br />Site HCAD ID(s): ___ ___ ___ - ___ ___ ___ - ___ ___ ___ - ___ ___ ___ ___ ; ___ ___ ___ - ___ ___ ___ - ___ ___ ___ - ___ ___ ___ ___ ; <br /> ___ ___ ___ - ___ ___ ___ - ___ ___ ___ - ___ ___ ___ ___ ; ___ ___ ___ - ___ ___ ___ - ___ ___ ___ - ___ ___ ___ ___ <br />12.2433 <br />Total Site Acreage (Per Exhibit “A” of Company’s IDA): _____________ Acres <br />4.) SITE FACILITY INFORMATION (If available, include any site plan or sketch of the subject facility with this form): <br />X <br />New Construction <br />207,400squarefootmulti-tenantindustrialbuilding <br /> Describe Project: __________________________________________________________________________________________________ <br /> ________________________________________________________________________________________________________________ <br />New Tenant Requesting Additional Water and/or Sanitary Sewer Allocation <br /> (Specify reason(s) for additional allocation request: _______________________________________________________________________ <br /> ________________________________________________________________________________________________________________ <br />Est.50 <br /> *Full-time Regular + Full-time Contract Employees who will occupy this facility: ___________________ Total Full-Time Employees <br /> **Current Amount of Water Allocated to Company by existing Water Service Agreement: __________________________ gallons per month <br /> **Current Amount of Sewer Allocated to Company by existing Sewer Service Agreement: __________________________ gallons per month <br />5.) WATER SERVICE IS REQUESTED to COMPANY’S SITE FOR THE FOLLOWING PURPOSE(S): <br />X <br /> Domestic Uses (i.e. Drinking, Flushing, Etc.) <br />Other (describe): __________________________________________________________________________________ <br /> ________________________________________________________________________________________________ <br />6.)SANITARYSEWER SERVICE IS REQUESTED to COMPANY’S SITE FOR THE FOLLOWING PURPOSE(S): <br />X <br /> Domestic Uses (i.e. Wastewater from domestic uses) <br />Other (describe): ___________________________________________________________________________________ <br /> _________________________________________________________________________________________________ <br />* An Administrative Fee of $100 per employee is assessed for each agreement (Min Fee = $5,000; Max Fee = $15,000) <br />**If Applicable <br /> <br />