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Timarron Addition (Lot 5, Block 6) - Easement/Right of Way Joint Use Agreement ORIGINAL DOCUMENT CITY OF SOUTHLAKE W _ Council Action: Y Q Ord. /Res. No. Date Approved APPLICATION FOR ENCROACHMENT AND JOINT USE AGREEMENT OF A PUBLIC DRAINAGE AND / OR UTILITY EASEMENT OR RIGHT -OF -WAY D e o Submittal To the City of Southlake: The undersigned hereby makes application to allow an encroachment and joint use of a portion of the public drainage d / or uti ity easement or right -of -way situated on or abutting property located at /�2� / iiii , and described by metes and bounds in Exhibit No. 1 of the attached agreCmen / The reason for the encroachment and use of the easement/right -of -way is as follows: j atwz - I 606(ifir---. Pnn -: / * e of P Telephone 7 4111' I A. Si:'r►!t "- of P • -rty Ow � � ,- Fax Number / IP .., iv/ Y &dr/ I UM Address 6 — TY 7ii2-- City State Zip Page 1 of 21 Easement / Right -of -Way Joint Use Agreement THE STATE OF TEXAS § COUNTY OF § Be it known, that the City of Southlake, herein after referred to as "City," and its franchised Utility Companies, grei ,eferr d to 4.5 "Utilities," do consent and agree to permit the following I u A- — .)w ;\ � �F.� oloherein after referred to as "Applicant," to - n easemeqt / right-9f-way, situated on or abutting LOT $ , BLOCK ‘f, , OF T; R , ` ;� n1 tAbcr t i I, THE CITY OF SOUTHLAKE, TEXAS, as described on the attached Exhibit No. 1, depicted graphically on the attached EXHIBIT No. 2 and consented to by the public utility companies as listed on the attached EXHIBIT No. 3, to be used for the purposes of L-i,,,, ,, ., A cc43 0 SL. and being subject to the following conditions: I . That the Applicant, his successors or assigns shall maintain in good condition all of the easement area and the improvements situated thereon; and, that City and Utilities shall not become responsible for such maintenance at any time in the future. II. That the Applicant shall and does hereby agree to indemnify and hold harmless the City and the Utilities from any and all damages, loss or liability of any kind whatsoever by reason of injury to property or third person occasioned by its use of the easement / right of way or act of omission, neglect or wrong doing of Applicant, his officers, agents, employees, invitees or other persons, with regard to the improvements and maintenance of such improvements; and the Applicant shall, at his own cost and expense, defend and protect City and Utilities against any and all such claims and demands. III. That the Applicant shall arrange for all activities and improvements in the easements to be discontinued and / or removed within thirty (30) days of written notification, at the discretion of City, for: (1) Lack of maintenance to the easement / right -of -way; (2) Failure to provide access to the City or its designees; or (3) Compliance with a City Council directive that use of the easement by the Applicant be discontinued and the cost associated with the discontinuing of such activities, and the removal of such improvements, as well as property adjacent to the easement / right -of -way necessitated by such discontinuation of the easement / right -of -way use, shall be borne by the Applicant. Iv. That the Applicant, his successors or assigns shall not seek compensation from City or Utilities for loss of the value of the improvements made hereunder when such improvements are required to be removed by Applicant. N: \00 -New N Drive\ADMINISTRATION -PW DEPT\Forms\Agreements\Joint Use and Encroachment Agreement.doc Page 2 of 21 � M Note: Only complete the appropriate acknowledgements THE STATE OF TEXAS § Corporate Acknowledgment COUNTY OF TARRANT § BEFORE ME, the undersigned authority, A Notary Public in and for the State of Texas, on this day personally appeared , known to me to be the person and officer whose name is subscribed to the foregoing instrument and acknowledged to me that same was the act of said , a corporation, and that he executed same for the purposes and consideration therein expressed and in the capacity therein stated. GIVEN UNDER MY HAND AND SEAL OF OFFICE this the day of , 20 Notary Public in and for the State of Texas My Commission Expires: THE STATE OF TEXAS § Individual Acknowledgment ✓ COUNTY OF TARRANT § BEFORE ME, the undersigned authority, a Notary Public in and for the State of Texas, on this day personally appeared die fvit0lTTGaDllka , known to me to be the person whose name is subscribed to the foregoing instrument and acknowledged to me that he executed same for the purposes and consideration therein expressed. GIVE , 4titAWAL O" OFFICE this the (3 /day of L/ , 20 ( 3. � Notary Public. State of Texas f� = My Commission Expires l F f tF E `�` "�i S January 2O, 2016 Notary 'u• lc in and for the State of Texas My Commission Expires: / 21, - /� THE STATE OF TEXAS § City of Southlake Acknowledgment COUNTY OF TARRANT § BEFORE ME the undersigned authority, a Notary Public in and for the State of Texas, on this day personally appeared 7<01).€.4 ` Ki✓t�� , known to me to be the person and officer whose name is subscribed to the foregoing instrument and acknowledged to me that same was the act of said , a municipal corporation, and that he executed same for the purposes and consideration therein expressed and in the capacity therein stated. GIVEN UNDER MY HAND AND SEAL OFFFICE this the day of , 20 Notary Public in and for the State of Texas My Commission Expires: i .. Rio ," VALERIE POTTER :'r ' ^: Notary Public, State of Texas : ',4 My Commission Expires '„�o��;;• February 28, 2015 Page 3 of 21 V. This agreement shall be filed of record in the Deed Records of Tarrant County, Texas, and shall bind all future owners of this lot and shall for all purposes be considered a covenant running with the land. IN TESTIMONY WHEREOF, Applicant executes this Easement / Right -of -Way Use Agreement on this day of , 20 City of Southlake (( / S a r u ' By: ...- By 1 /4 !Ii , Dir ector of Public Works Ape ' an s � ,r NOTE: Complete the attached acknowledgements. Page 4 of 21 EXHIBIT NO. 1 Being that portion of that certain public utility easement / drainage easement / right of way situated in .,.Z A, r t f o n 1 Addition /Survey to the City of Southlake, Tarrant County, Texas, and being more particularly described by metes and bounds as follows: 5 Q—a... A,' a . Page 5 of 21 • .. ,, •, •' • _ • •' _..ui .� �wY..l.. - WNttYt. 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'• } r � 0 r' \ �� i-ot N V EXHIBIT NO. 2 The following is a drawing depicting the area or portion of the easement / right -of -way and property described in Exhibit No. 1, that is subject to the encroachment and joint use agreement in this application showing the nature of the encroachment and use with dimensions. . This drawing shall include a north arrow, legal description of the subject property and adjoining properties. Indicate on the drawing whether the encroachment is for a utility, drainage, private access, easement or right - of -way. Page 7 of 21 I I NOTES N LOT 4, BLOCK 6 1. This Survey is issued without the benefit of a current title report and Is I revision subject to reNalon upon on receipt t eceipt thereof. TIMARRON ADDITION 2. All building lines and easements shown hereon are a c carding to the Plat of C Tlmarron Addition Warwick Green recorded under Cabinet A, 5150, in the Plat WARWICK Records of Tarrant County, Texan, unless otherwise noted. Cy, w 3. The Surveyor has not physically located any underground utilities and /or CAB A, PG. 5150 improvements which may be located an under or near the subject property. /� N P.R.T.C.T. 4. Selling a portion of thin addition by metes and bounds is a violation of the �h' • city Subdivision Ordinance and State platting statutes and is subject to fines and �.J 0 withholding of utilities and building permits. et 4 5. According to the Flood Insurance Rate Map No. 48439C0095 K, published by C the Federal Emergency Management Agency, dated: September 25, 2009. the surveyed property shown hereon does not lie within any special flood hazard area Inundated by the 100 —year flood. •col •0 S 89 22'02" E 143.08' ssy � 1 /2" IRF w /CAP +j "PRECISE" Oil FORM CONC. BOA z °0 0.2458 ACRES o 10,707 SQ. FT. w h >— 3 LOT 5, BLOCK 6 N W �" w T IMARRO N ADDITION BOARD N 3 Q l= ' a p m "-^1,4N _ ° WARWICK GREEN CAB. A, PG. 5150 CONC. . '�'� o w Z ;� P.R.T.C.T. c m 2 O O 1.9' FORM P BRICK ENCROACHMENT p m ct > > Z C a ✓ FORM BOARD 5/8" IRF w /CAP w } I.. I ' o "CARTER &BURGESS" N 8922'02" 02 „ W 142.46' n A B B R E V I A T I O N S I D.R.T.C.T. DEED RECORDS OF TARRANT COUNTY, T E EXAS LOT 6, BLOCK 6 P.R.T.C.T. PUT RECORDS OF TARRANT COUNTY, TEXAS O VOL VOLUME TIMARRON ADDITION CAB. CABINET WARWICK GREEN DOC. NO NO PAGE NO. DOCUMENT NUMBER CAB. A, PG. 5150 D.E. UTILITY CEMENT vt P.R.T.C.T. ASPH BUILDING UNE V CONC. CONCRETE h P.S.LE. PRWATE SCREENING & LANDSCAPE EASEMENT 1416 MONTGOMERY LANE �0 F\ FORM BOARD SURVEY g , \ 0000000 F \ certify that this survey was made on TP� � °oO a pOO r c a the ground, that this plat correctly • C 0 � l ' q LOT 5, BLOCK 6, TIMARRON \ represents the facts found at the time i a • * o° 0 \ Q % * of s u rvey. © ` n ano ° oaaaaaaaaaaaaaaaaaaaaa aa. 1 ADDITION WARWICK GREEN $ DAVID CARLTON LEWIS RECORDED IN CAB. A, PG. 5150, IN THE P.R.T.C.T., IN THE J. REDMONDS a to ocoo000ocoo000ococ00000gy000 This document shall not be recorded for SURVEY NO. 457 CITY OF SOUTHLAKE, TARRANT COUNTY, TEXAS o ° O 5647 uo any purpose. This drawing shall wed ISSUE DATE: 7/29/2013 SCALE: 1” = 30' PROJECT NO.: 045-003-20 0 43 P a RENEW PURPOSES ONLY 4)- \ lq a OFESS \��yc � a P SPRY( SURVEYORS R G ra hic Scale in Feet o Dote: MARCH 21, 2013 o JULY 28, 2012 8241 Mid — Cities Blvd., Suite 100 • North Richland Hills, TX 76182 ii CERTIFICATE DATE DAVID CARLTON LEWS, R.P.L.S. NO. 5647 30' 60' Ph 817 896 6150 • Fax 817284 8408 • www.sprysurveyors.com EXHIBIT NO. 2A The following is a detail and / or cross section drawing of the improvement(s) in the utility easement / drainage easement / right of way to be subject to the encroachment and joint use agreement in this application. Page 9 of 21 Exhibit No. 2A -1 Lil O WOOD POST c O (6 x6 OR 8 x 8) x F- w w LL 0 a 0 I- I 111 I1I — I1I — —II —I 1 — III -1 X 11 = 1 I I II I — I I I I 111=11 1 11 1 = i1 I- IIIIII � l 1 111 1 1- 1 11 R iv PERGOLA POST SETTING r . �F.....4/ / \ • •• * , t' / 0 JAMES D. BEAVER • li + 1 : P 7533 /� t t �F /STEM• \ fir ‘ � ONA�� c ://197 The seal appearing on this document was authorized by James D. Beaver, P.E. 27533 on June 3, 2013. Alteration of a sealed document without proper notifiaction to the responsible engineer is an offense under the Texas Engineering Practice Act DATE 86 associates POST SETTING DETAIL 3 assoclates en�n� 2029 Ryan Street Irving, "texas 75061 for ## Phone (972) 253 -5425 PERGOLA COLUMNS SHEET S— P. E. Office No. S 1 F- 13201 1428 Montgomery Lane Southlake, Texas of 1 Page 10 of 21 Exhibit No. 2A -2 -- _ I — — — — — — — — — — — Drawn By GAC Checked By Revisions 42" ■ 0 r FREE STANDING ARBOR 1 z - \A i I 10.00 .� NEW KITCHEN EXISTING POOL \ � � -A\ NEW CONCRETE Z NEW ARBOR ' Z a \ x ' A * \\ . . \ N,,,ii u_l 7 ( \ , ,-.'111 \ , it li k • • \ ` 4' C LEA" \� I \-- NEW CONCRETE f i e I 1 . NEW CEDAR TRELLIS AND SEAT WALL 0 • .111 r( .. \ IL • / EE k g 8 R 1 /. < \. NEW GAS FIRE PIT It 0 8 \ -- NEW CONCRETE Sheet No. — — — -- — — — • SCALE: 1 /8' _ I' -m" L -' - LANDSCAPE PLAN OF l Page 1 1 of 2 1 Exhibit No. 2A -3 Date MM 15, 2013 Drawn By GAC Checked By Revisions IMMENNI 2X4 WRC 6" O.C. 2X6 WRC i 24" O.C. II lI 61 14 W 14 II 14 C 2X8 WRC / SANDWICH SEAM 0 6x6 WRC "I' -6" Z C7 z W A POOL TRELLIS- FRONT VIEW p m Y w U ' z 2X4 WRC 2X4 WRC y z 6" O.C. 6" D.G. Ca 7 2X6 WRC 2X6 WRC - 24" O.C. 24" O.C. 41 H 14 14 14 l 2XS WRC 2X8 WRC 4 ' I- SANDWICH BEAM SANDWICH SEAM j 6x6 WRC 6x6 WRC 0 0 - KITCHEN S -2' S' -6" W ! g 11 11 II I I I I cc f - II I II i II 6 KITCHEN TRELLIS- BACK VIEW KITCHEN TRELLIS- SIDE VIEW § — 0 „, 4 8 Sheet No. 'GALE: 1/4' = 1' -0" L -2 LANDSCAPE PLAN OF 2 . , Page 12 of 21 IZJO CI aged . . ,t. 4iiiiti , , . , . 141414 "Vv7 . . i • '4.-7 I !!.._ . r I r 11: . • � ,.. , Z F err t / ( ' t P • • I ,.„ r, t. .w ,i i • It _ �` w i+/�i 00 00 ' -1--- .. didlly: a 2 e 1 P VZ ' ° ICI ppgtgX3 Exhibit No. 3 Page 1 of 8 The undersigned public utility companies, using or entitled to use, under the terms and provisions of our respective franchise with the City of Southlake, do hereby consent to the encroachment and joint use of the described portion of such drainage and / or utility easement or right -of -way requested in this Application for encroachment and joint use of a public drainage and utility easement or right -of -way Oncor Electric Delivery Company AT &T / Southwestern Bell Telephone Company By: By: (Please Print) (Please Print) Title: Title: (Please Print) (Please Print) Signature: Signature: Verizon Telephone Company Tri- County Electric Company By: By: (Please Print) (Please Print) Title: Title: (Please Print) (Please Print) Signature: Signature: Charter Communications, Inc. City of Southlake By: By: (Please Print) (Please Print) Title: Title: (Please Print) (Please Print) Signature: Signature: Atmos Energy By: (Please Print) Title: (Please Print) Signature: Page 14 of 21 Exhibit No. 3 Page 2 of 8 The undersigned public utility companies, using or entitled to use, under the terms and provisions of our respective franchise with the City of Southlake, do hereby consent to the encroachment and joint use of the described portion of such drainage and ! or utility easement or right -of -way requested in this Application for encroachment and joint use of a public drainage and utility easement or right -of -way Oncor Electric Delivery Company AT&T ! Southwestern Bell Telephone Company 1/i'413 RAMO L. CRE 1_ I 14 By: * (Please Print) J� (Please Print) ( Title: �'" ty -se.G7 MAN t1 -6E-a- Title: (PleasePrint) (Please Print) Sign; • -. ito .� �t Signature: Verizon Telephone Company Tri- County Electric Company By: By: (Please Print) (Please Print) Title: Title: (Please Print) (Please Print) Signature: Signature: Charter Communications, Inc. City of Southlake By: By: (Please Print) (Please Print) Title: Title: (Please Print) (Please Print) Signature: Signature: Atmos Energy By: (Please Print) Title: (Please Print) Signature: Page 15 of Exhibit No. 3 Page 3 of 8 The undersigned public utility companies, using or entitled to use, under the terms and provisions of our respective franchise with the City of Southlake, do hereby consent to the encroachment and joint use of the described portion of such drainage and 1 or utility easement or right -of -way requested in this Application for encroachment and joint use of a public drainage and utility easement or right -of -way Oncor Electric Delivery Company AT&T / Southwestern Bell Telephone Company By: By: (Please Print) (Please Print) Title: Title: (Please Print) (Please Print) Signature: Signature: Verizon Telephone Company Tri- County Electric Company By: ?416-,-._ By: (Please Print) (Please Print) Title: go M a K- Title: (Please Print (Please Print) Signature: � ' Signature: Charter Communications, Inc_ City of Southlake By: By: (Please Print) (Please Print) Title: Title: ( (Please Print) (Please Print) Signature:, Signature: Atmos Energy By: (Please Print) Title: (Please Print) Signature: Page 16 of 21 Exhibit No. 3 Page 4 of 8 The undersigned public utility companies, using or entitled to use, under the terms and provisions of our respective franchise with the City of Southlake, do hereby consent to the encroachment and joint use of the described portion of such drainage and ! or utility easement or right-of-way requested in this Application for encroachment and joint use of a public drainage and utility easement or right -of -way Oncor Electric Delivery Company AT &T 1 Southwestern Bell Telephone Company By: By: (Please Print) (Please Print) } Title: Title: (Please Print) (Please Print) Signature: Signature: Verizon Telephone Company TO- County Electric Company B By: (Please Print) (Please Print) Title: Title: (Please Print) (Please Print) Signature: Signature: Charter Communications, Inc. City of Southlake By: / relit E' By: (Please Print) (Please Print) Title: COI r t � r — Title: (Plea Prim (Please Print) Signature: %7 ' ` / C Signature: Atmos Energy By: (Please Print) Title: (Please Print) Signature: Page 17 of 21 Jul. 30. 2013 3:06PM Atmos Energy No. 6131 P. 2 Exhibit No. 3 Page 5 of 8 • The undersigned public utility. companies,. usIng .or entitled to . use, under the .terms and provision° of otir . respective frenchlee'livith the City. of Southleke, do hereby consont'Wills encfoachri•iottt and, joint use of the described Portion of such drainage and / or .utility easement Or. right-Of-way regtiested In this Appllcelfon for . encroachment and Joint use or a public drainage and utlfity e orright -et: Vijay' ' • Oncar Electric Delivery Cvmtianv• • AT &T i Southwestern lien Tjfeehone Comiaanv • By By: • . ` . (l'Ij Piing • (Pleacofrint) • • • We: . Title: (Pleaya Pdnl) , • .. • • ' (Piearaprint) .. • • Signature: . . ... . . . Signature: . _--- -- • Verizen Telephone Company Th' -County Etectdc Company • . By: By • . ... • (Please Print) . . (Please Print) Title: • • Title: . . • - . • ' (PleasePrint) • .(P tease Prku) • • . Signature: Signature; • • • Charter•Communlcatlons j jtc, ' Clty f• at . • By. By: (please print). '(Please Print) • "' • ' Tithe: ' • • • . •11(19:..... .. . . . (Pleas° Print) . • • • • ( Pleas° Print) • . . Signature: . Signature: • ... • • • Aimee Energy.' • • . • • Byr • Anibal Campos . . • • • - (Please Print) ' T : L itlo: i ,' • et .. ! a • • • . (Pleesa Print • // • • • Signature:. ✓� ...� �,1.� 1... . _._ . _ • • / . 1 _._. Page 18 of 21 Exhibit No. 3 Page 6 of 8 The undersigned public utility companies, using or entitled to use, under the terms and provisions of our respective franchise with the City of Southlake, do hereby consent to the encroachment and joint use of the described portion of such drainage and / or utility easement or right -of -way requested in this Application for encroachment and joint use of a public drainage and utility easement or right -of -way Oncor Electric Delivery Company AT &T / Southwestern Bell Telephone Company By: By: / /I+1/4 1 (Please Print) (Please Print) Title: Title: M c C- ,S7' 6.1 c Snl - ,elCAI Ts•cawc.J (Please Print) (Please Print) Signature: Signature: tS ..... Verizon Telephone Company Tri- County Electric Company By: By: (Please Print) (Please Print) Title: Title: (Please Print) (Please Print) Signature: Signature: Charter Communications, Inc. City of Southlake By: By: (Please Print) (Please Print) Title: Title: (Please Print) (Please Print) Signature: Signature: Atmos Energy By: (Please Print) Title: (Please Print) Signature: Page 19 of 21 Exhibit No. 3 Page 7 of 8 The undersigned public utility companies, using or entitled to use, under the terms and provisions of our respective franchise with the City of Southlake, do hereby consent to the encroachment and joint use of the described portion of such drainage and / or utility easement or right -of -way requested in this Application for encroachment and joint use of a public drainage and utility easement or right-of-way /426 Nlou -t&opt n't Lv.. L5 &ie. Co 77 m, u,*' Ammo. ' WAKtw,alc &tem Oncor Electric Delivery Company AT&T / Southwestern Bell Telephone Company By: By: (Please Print) (Please Print) Title: Title: (Please Print) (Please Print) Signature: Signature: Verizon Telephone Company Tri- County Electric•9emparty- LaaPE4ATIVg. By: By: Seder D. w I, a' (Please Print) � (Please Print) /�/j Title: Title: / r l4AI146E& (Please Print) (Please Print) Signature: Signature:, lrJ. � . ..tcy :,le) Charter Communications, Inc. City of South lake By: By: (Please Print) (Please Print) Title: Title: (Please Print) (Please Print) Signature: Signature: Atmos Energy By: (Please Print) Title: (Please Print) Signature: • __._... _._ _..._._.._...__.---_____._....._._.._... ._..._......--- .--- .......__.._ --- Page 20 of 21 Exhibit No. 3 Page 8 of 8 The undersigned public utility companies, using or entitled to use, under the terms and provisions of our respective franchise with the City of Southlake, do hereby consent to the encroachment and joint use of the described portion of such drainage and / or utility easement or right -of -way requested in this Application for encroachment and joint use of a public drainage and utility easement or right -of -way Oncor Electric Delivery Company AT &T / Southwestern Bell Telephone Company By: By: (Please Print) (Please Print) Title: Title: (Please Print) (Please Print) Signature: Signature: Verizon Telephone Company Tri- County Electric Company By: By: (Please Print) (Please Print) Title: Title: (Please Print) (Please Print) Signature: Signature: Charter Communications, Inc. Cit • _ -.:... lake �� By: By:-:�h (Please Print) ,�/� = ease Prig Title: Title: I 0 t (Please Print) lease Print) Signature: Signature: 3 J C- t rice l �,� S oUTH�fi- f' ST: • Atmos Energy w • By: . , Ti s�r�. ; (Please Print) 2i' G "'��� T i -i � i� G City Secretary Title: (� Eau 'M) (Please Print) ` '� * *, *,,,,, Signature: APPROVED AS TO FORM AND LEGALITY jz ( c MY ATTORNEY / Page 21 of 21 0. I ► 9 c 4 MARY LOUISE GARCIA ..,.•.,,,, COUNTY CLERK 100 West Weatherford Fort Worth, TX 76196 -0401 �''"'••'"� PHONE (817) 884 -1195 CITY OF SOUTHLAKE 1400 MAIN ST STE 270 SOUTHLAKE, TX 76092 Submitter: CITY OF SOUTHLAKE DO NOT DESTROY WARNING - THIS IS PART OF THE OFFICIAL RECORD. Filed For Registration: 1/6/2014 2:59 PM Instrument #: D214003027 A 22 PGS $104.00 By: `7 cc�2 - t LL,4 LcsLl D214003027 ANY PROVISION WHICH RESTRICTS THE SALE, RENTAL OR USE OF THE DESCRIBED REAL PROPERTY BECAUSE OF COLOR OR RACE IS INVALID AND UNENFORCEABLE UNDER FEDERAL LAW. CITY OF SOUTHLAKE City Secretary's Office 1400 Main Street I Suite 270 I Southlake, Texas 76092 I (p) 817- 748 -8015 I (f) 817- 748 -8270 August 27, 2013 Tarrant County Clerk's Office 100 W. Weatherford Fort Worth, TX 76196 -0401 Re: Document for Filing To Whom It May Concern: Please record the enclosed documents in the Tarrant County Clerk's Office. The charges for the filing fees can be charged to the City of Southlake Escrow Account. Please retum the filed documents to: City of Southlake Attn: City Secretary's Office 1400 Main Street, Suite 270 Southlake, Texas 76092 Thank you for your assistance. If you have any questions, please contact me at 817- 748 -8015. Sincerely, Traci Riggs Deputy City Secretary Enclosures: Charge Authorization Form Michael and Joanna Grayson Encroachment and Joint Use Agreement Intcgrita • Innovation • Accountability • Conunitment to Excellcncc • 'Ic:umcork ��' �l i'S i �zi t T 1 Mary Louise Garcia TARRANT COUNTY COURTHOUSE 100 W. WEATHERFORD County Clerk Fort Worth Texas 76196 -0401 Charge Authorization City of Southlake #61 1400 Main Street Ste 310 Southlake TX 76092 817 - 748 -8621 PH 817 -748 -8077 FX 8 I Authorized Charger Date X-/ r3 THIS FORM, SUBMITTED WITH YOUR DOCUMENTS, WILL BE ACCEPTED AS AUTHORIZATION TO CHARGE YOUR ACCOUNT. Receipt #: Customer Signature: ALTERED DOCUMENT WILL NOT BE ACCEPTED Revised 01/01/11 • Fzrolukte_tiosii4 Mary Louise Garcia TARRANT COUNTY COURTHOUSE 100 W. WEATHERFORD County Clerk Fort Worth Texas 76196 -0401 Charge Authorization City of Southlake #61 1400 Main Street Ste 310 Southlake TX 76092 817- 748 -8621 PH 817 -748 -8077 FX Authorized Charger ' / 1 Date / - 2 — c2 /T THIS FORM, SUBMITTED WITH YOUR DOCUMENTS, WILL BE ACCEPTED AS AUTHORIZATION TO CHARGE YOUR ACCOUNT. Receipt #: Customer Signature: ALTERED DOCUMENT WILL NOT BE ACCEPTED Revised 01/01/11 CITY OF SOUTHLAKE City Secretary's Office 1400 Main Street 1 Suite 270 Southlake, Texas 76092 I (p) 817 - 748 -8015 W817-748-8270 January 2, 2014 Tarrant County Clerk's Office 100 W. Weatherford Fort Worth, TX 76196 -0401 Re: Document for Filing To Whom It May Concern: Please record the enclosed documents in the Tarrant County Clerk's Office. The charges for the filing fees can be charged to the City of Southlake Escrow Account. Please return the filed documents to: City of Southlake Attn: City Secretary's Office 1400 Main Street, Suite 270 Southlake, Texas 76092 Thank you for your assistance. If you have any questions, please contact me at 817- 748 -8015. Sincerely, Q " -- % 45 =6===' Traci Riggs Deputy City Secretary Enclosures: Charge Authorization Form Michael and Joanna Grayson Encroachment and Joint Use Agreement Integrity • limovarion • Accountability • Commitment to Fsccllcncc • lcamrco