08-26-19 Regular Meeting of the La Porte City Council

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CITY OF LA PORTE PLANNING DEPARTMENT 604 West Fairmont Parkway, La Porte, TX 77571 Phone: 281.471.5020, Fax: 281.470.5005 www.laportetx.gov APPLICATION for WATER / SEWER SERVICE to COMPANIES WITH AN INDUSTRIAL DISTRICT AGREEMENT (IDA) Note: Submittal of partial or incomplete information may delay processing of your application 1.) COMPANY NAME (per Applicant's IDA w/ City): Name: zc re. CC.1. it U, S . ne- Phone #: �.'� 4 7 4-" 30 7 Fax#: a$1 - 4-74, -7774 E-Mail: 4� Company Address: 310 &d�X Road 'PcaiSa 0% , TA V 61)7 - City Use Only - Rec'd by: Date: Date of Initial Review Meeting: Date of Internal Review Meeting: Request Meets Policy Guidelines? Date of Notification to Company: 2.) *SITE TENANT (if other than "Company"): Company Name: Phone # Fax #: Address: Contact Name: 3.) PROPERTY DATA (If available, include any survey, plat, site plan, map or sketch of the subject site with this form): *Company's Industrial District Agreement No.: 2007 - IDA • 19 *Site Address: 13100 Ba,_Ipgyl< Road 1 ras enct I TX 77;0 7 Site HCAD ID(s): Y or N Total Site Acreage (Per Exhibit "A" of Company's IDA): 3 Acres / 6 �C� e N 7d R �- 6 . $ y� @,u3 4.) SITE FACILITY INFORMATION (If available, include anv site plan or sketch of the subiect facility with this form): 9 New Construction Describe Project: 4S ill C 1 r� e veX+e wa�`�-'� Ma's S i 3Yl �� '�' A -ye- h4dTavif asid Aye ;hklev s 41-C A b4 Ne, ne-W T1 o00 ed rN ❑ New Tenant Requesting Additional Water and/or Sanitary Sewer Allocation r t' (Specify reason(s) for additional allocation request: *Full-time Regular + Full-time Contract Employees who will occupy this facility: '% 7 Total Full -Time Employees **Current Amount of Water Allocated to Company by existing Water Service Agreement: 77,, 14 7S_ gallons per month **Current Amount of Sewer Allocated to Company by existing Sewer Service Agreement: /V A gallons per month 5.) WATER SERVICE IS REQUESTED to COMPANY'S SITE FOR THE FOLLOWING PURPOSE(S): ❑ Domestic Uses (i.e. Drinking, Flushing, Etc.) Other (describe): Xpy R&ke_C_AC_ry1 N® f_ !� 6.) SANITARY SEWER SERVICE IS REQUESTED to COMPANY'S SITE FOR THE FOLLOWING PURPOSE(S): ❑ Domestic Uses (i.e. Wastewater from domestic uses) ❑ Other (describe): * An Administrative Fee of $100 per employee is assessed for each agreement (Min Fee = $5,000; Max Fee = $15,000) **If Applicable