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15 TCEQ Review Request FormTCEQ review form 16-2016 Page 1 of 1 CITY OF SCHERTZ REQUEST FOR REVIEW TEXAS COMMISSION ON ENVIRONMENTAL QUALITY (TCEQ) Date: ___________________ APPLICANT INFORMATION: Applicant: _______________________________________________________________________________ (Company Name/Contact person/Title) Street Address, City, State, Zip: __________________________________________________________________ Ph#: ________________________ Fax#: ____________________ E-Mail: ________________________ PROPERTY DESCRIPTION: Name of Subdivision/Development: _________________________________________________________ Lot: ________ Block: _________ Address: _______________________________________________ Survey Name: _____________________________________ Abstract#: __________ Tract # _______ Location of Property: ________________________________________ MAPSCO Ref # ________________ I _________________________________ acknowledge receipt of the plans for the above mentioned subdivision. (Print name) Signed this __________day, of ___________________ Month, 20____. ________________________________________________________ (Signature)