4. 
5. Kaufman County, Texas

   Development Services: 9-1-1 Application

   DEVELOPMENT PRELIMINARY

7. Information gathered is used to help emergency service personnel respond to 9-1-1 calls. This form must be completed for all structures in the unincorporated areas of Kaufman County. Please note that the naming of roads or assignment / reassignment of an address is a ministerial act. Kaufman County, its employees or agents, do not warrant or assure that any road or easement is public or private nor what parties or landowners have a right to use the easement.

9. Date*
   Date
11. Name*
12. Email Address*
14. Phone Number*
16. Address*
18. City*
19. Zip Code*
21. Property Ownership*

    1. I am the owner of the property
    2. I have INCLUDED documentation from property owner allowing me to apply
25. PROPERTY IDENTIFICATION

    Please provide any information that might assist in locating your property.

27. Subdivision Name*
28. Subdivision Phase*
32. RESIDENTIAL
33. COMMERCIAL
35. Total Residential Lots*
36. Total Buildings*
38. Total Non-Residential Lots*
39. Total Units*
41. Platting Authority*
43. Have you completed a road name review for any new roads?*

    1. Yes
    2. No

45. Residential - Include plat (unrecorded) approved by platting authority.

    Commercial - Include site plan showing roads, buildings, and suite layouts.

49. INFORMATION FOR FINAL ADDRESS REQUESTS

    
    

    Submittals for Final address include:

    
    

    FORM - Address Application Development Final

    Copy of any Preliminary Address provided

    Copy of plat recorded with Kaufman County Clerk

    Geo rectified Computer Aided Drafting (CAD) or shapefiles for road center lines and parcel lines.

    $40 per address fees is due prior to release of final address

    
    

53. Plat (Approved by Platting Authority)*
55. Road Name Review
57. Owner Authorization
59. Additional Documents

61. If you check the box: Receive an email copy of this form. You’ll receive an e-mail from NoReplyCivicPlus.com.

Leave This Blank:


63. 1. Receive an email copy of this form.
64. Email address

    This field is not part of the form submission.

65. Submit

* indicates a required field