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HomeMy WebLinkAboutContract 35256 (2) CITY SECRETARY CONTRACT NO. FORT WORTH WATER DEPARTMENT Application and Contract for Water and/or Sewer Service Outside City Limits This is a request to the Director of the Water Department of the City of Fort Worth for water service outside the city limits of Fort Worth, pursuant to City Code Section 35-60. a T-( N o vsc- First Name, Middle Initial, Last Name(or Legal Entity) < < s i (1 rA Sri ►� 04 l t-t- 7 P S a 1 st Address Line(Outside Fort Worth City Limits Location) Area Code+Telephone Number 2nd Address Line(Outside Fort Worth City Limits Location) �cELLC✓- lx —26� �t � City, State,Zip code u ACIv as owner/operator of the property located at the named address above (Name) understand that the provision of water by the City of Fort Worth shall be made in strict compliance with Chapter 35 of the Fort Worth City Code (1986), as amended, specifically but not limited to the following Sections: 1. City Code Section 35-60"Uses Outside City"as applicable; and 2. City Code Section 35-20"Provisions Incorporated into Consumer Contracts". "All of the provisions of this Chapter [35] shall be deemed to be incorporated in every contract between the city and its water or sanitary sewerage service customers, and each customer or consumer shall be charged with knowledge of the provisions of this chapter and, by applying for and accepting water or sanitary sewerage service from the city, to have assented to the provisions of this chapter." This shall include any and all ordinances adopted and amending Chapter 35 such as ARTICLE VI. LAWN AND LANDSCAPE IRRIGATION CONSERVATION. I understand that by making this application, I am entering into a contractual agreement with the City of Fort Worth and hereby agree to the terms and conditions stated above. I certify that I am authorized to make thMpJic do nd to enter into such agreement. (Applicant's Signature) (Date) Approval upon authority of the Fort Worth Water Department Director By: _ U (Signature) (Dat ) Authorizing M&C: Applicant:Attach Reouired Documents ? 1. Filed Plat,or Filed Survey including complete property legal description. 2. Exhibits. torY ° L. LI Page 2 i FORT WORTH WATER DEPARTMENT Application and Contract for Water and/or Sewer Service Outside City Limits j I Signature Page For Water Service Outside City Limits: ATTEST: City Of Fort Worth !+ LX City Secretary Assistant City Manager Marry Hendrix Marc A. Ott Approved as to Form and Legality: Assista City Attorney Christa R. Lopez Contract Authorization Date Last Updated: December 27,2006 Please Mail to: Water Development,City of Fort Worth,Lower Level, 1000 Throckmorton St.,Fort Worth TX 761 2- Office(817)392-8250 FAX(817)392-8703 ��3'r� t����'ld �9�ti� `iKC9E /►1RY FORT WORTH "'4� t Pediatric Center WATER 11751 Alta Vista Road 2308 4913 917492 49 5 94 33 N p�j ! 2 44 oN 210 2 @05 1 v4916 5 42 32 DURANGO ROOT N ANGEL FOOD 5 d 6 24 3 z 53 3s N • 49 9 5Uj 3 1' 85 94 FUNNEL v t u cv 4833 3 23 z w 4829 22 26 GOLDEN YARROW °r' pp IWi 14825 4a32 214 r O 1 O !4821 4824 4921 • 8 13 30 LID ~ 4817 4818 4917 ®4920 12129 o 4813 4812 4913 4912 1212 • Zr ( 600-4699 v a 4809 4808 4909 4so6 DWARF NETTLE ¢ 4805 4804 4905 4904 z117 AMBROSIA 4�1 4900 2113 j s • • 46 • 56 48a 1 g 1 12113 5 48 4887 94884111 1 12105 121 • PLESPRINGS rAPP S i o • • �G• °z 2-Salvador Espino ,Q zoso-asa 8• P.V.c. &I� D 6 ZZ • c ,. 11751 Alta Vista Road o szo 0 O — — O SUZIE RICH v w m n a o Q o Q r Z W Q 1 Zt a (3800-3819) CEDAR FALLS (3900 _ 11 13916 3 11 c. 1 t 8t t 7t 11717 OI, I 11 17 it 7 1 117 1700 11 16' 4 17 5 1 1 11637 1705 11 3 72 1 71 11632 1 1633 11 1 62 11624 11629 1626 11625 11624 •-(11600-11799) 0 1 162 11 118201617 t 1 63 11616 1617 1613 64 11 162 11612 1613 11612 2060-460 11605 11508 11609 1609 1601 U 11e04 11604 11605 1529C 11 1 5 152 11528 528 11529 1521 11524 11525 11520 11517 11520 11521 11517 11516 11517 11516 11513 11513 11512 11513 11512 11509 0 200 400 600 800 For general purpose only. Data may not be up-to-date. Feet Not to be used for utility line locates nor design plans. sexaL 'Pli e;slA RIIV ISLI I h salu@D Z)IJIPIPad sa V_� 0 �`a mN8 � Says moo. i no �0 � x ❑❑! NaVOY VISIA VJ,7V � I � lose o ' d c "3 @ _ it W I � I a L—U-------J L——————————-- ® I I 36'6Ew�N..6�-.ZS.66 N I I U <> a a 66og� aii �is °� tl Page 1 of 2 City of Fort Worth, Texas Mayor and Council Communication COUNCIL ACTION: Approved on 4/24/2007 DATE: Tuesday, April 24, 2007 LOG NAME: 60ALTA VISTA RD REFERENCE NO.: **G-15695 SUBJECT: Authorize the Provision of Water Service at 1.25 Times the Retail Rate to Dr. Harminder Dhaliwal to Serve His. Pediatric Center at 11751 Alta Vista Road, in Tarrant County, Outside of the Fort Worth City Limits Pursuant to City Code Section 35-60B "Uses Outside City" RECOMMENDATION: It is recommended that the City Council: 1. Authorize the Water Department to provide water service at 1.25 times the retail rate to Dr. Harminder Dhaliwal to serve his pediatric center at 11751 Alta Vista Road, located in Tarrant County, outside of the Fort Worth City limits; and 2. Authorize the City Manager to execute an agreement for such services. DISCUSSION: Dr. Harminder Dhaliwal has submitted a request to receive water services from the City of Fort Worth for a pediatric center located at 11751 Alta Vista Road. The legal description of the property is Lot 1, Block A, Tree House Family Addition, located in the extraterritorial jurisdiction of Tarrant County (see attached map). This property is located inside the Fort Worth Certificate of Convenience and Necessity (CCN). Dr. Harminder Dhaliwal has agreed to pay all fees and charges associated with the connection. The applicant also understands that the fees and the monthly bill will be 1.25 times the rate for customers inside the City of Fort Worth until such time as the property may be annexed. This property is located adjacent to COUNCIL DISTRICT 2. FISCAL INFORMATION/CERTIFICATION: The Finance Director certifies that the Water Department will be responsible for collection of funds due to the City as a result of this agreement. TO Fund/Account/Centers FROM Fund/Account/Centers PE45 493012 0601000 $0.00 Submitted for City Manager's Office W. Marc Ott (8476) Originating Department Head: S. Frank Crumb (8207) http://www.cfwnet.org/council_packet/Reports/mc_print.asp 04/24/2007 Page 2 of 2 Additional Information Contact: Carrie McBeth (7585) http://www.cfwnet.org/council_packet/Reports/mc_print.asp 04/24/2007