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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
Leave This Blank:


42. 1. Receive an email copy of this form.
43. Email address

    This field is not part of the form submission.

44. Submit

* indicates a required field