3826 AMHERST ST. WEST UNIVERSITY PLACE, TX 77005 | 713.662.5833 | INSPECTIONS@WESTUTX.GOV
PAGE 1 OF 1
Public Works Department
Development Services
INSPECTION REQUEST LINE 713.662.5805 | BEFORE 4:30 PM FOR NEXT DAY
ACKNOWLEDGMENT OF FILING
STATE OF COUNTY OF
§ §
This instrument was acknowledged before me.
BY
LEGIBLE SEAL
DATE ACKNOWLEDGED
COMMISSION EXPIRATION
NOTARY PUBLIC
BUILDING–OWNER’S DESIGNATION OF
A BUILDING SITE
AS DEFINED BY THE
ZONING ORDINANCE OF THE CITY
NOTES
• An original survey depicting the property described below
must be attached.
SUBJECT
STATE OF COUNTY OF ON THIS DATE
§ §
The undersigned person(s) (referred to collectively as “Owner”)
certies that the owner owns the Property described below and
signs this designation. Words and phrases in this designation
have the same meanings as in the Zoning Ordinance.
PROPERTY INFORMATION
ADDRESS
LEGAL DESCRIPTION OF PROPERTY
BUILDING SITE REVIEW (OFFICIAL USE ONLY)
ACCEPTABLE UNACCEPTABLE
Building Site is unacceptable for the following reason(s):
Building site is made-up of one or more partial lots that
were not legally subdivided into present shape before
10/24/1987.
Proof required lot was legally subdivided into present
shape before 10/24/1987.
Building site does not meet minimum dimensions as
prescribed by Table 5-1 of the Zoning Ordinance.
Other. (see attached)
CHIEF BUILDING OFFICIAL
DATE
OWNER'S DESIGNATION OF BUILDING SITE
REPRESENTATION BY THE OWNER
The Owner represents to the City that the Property: (i) is contiguous, (ii) is all
owned in fee simple and in common by the Owner, (iii) consists of one or more
whole subdivided lots, (iv) includes no common-use areas, (v) includes no area
within another building site and (vi) has the minimum dimensions prescribed by
the City’s Zoning Ordinance. The owner understands that the Zoning Ordinance
restricts the division of building sites. The Owner also understands that building
sites are regulated in many ways, both by the Zoning Ordinance and by other
ordinances of the City.
NOTE: If building site contains one or more partial lots, owner must
provide city proof the building site was legally subdivided into present
shape before 10/24/1987.
Designation As One Building Site: The Owner designates the entire Property
described above as a single “building site” under the City’s Zoning Ordinance.
SIGNATURE DATE
PRINT NAME
