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
BUILDING SITE REVIEW
ACCEPTABLE UNACCEPTABLE
Building Site is unacceptable for the following reason(s):
Table 7-2 Note 2 Table 7-2 Note 3
Table 7-2 Note 6 Table 7-6 Note 5
CHIEF BUILDING OFFICIAL DATE
BUILDING–OWNER’S DESIGNATION OF
SIDE SETBACK AREAS (SIDE YARD)
UNDER THE ZONING ORDINANCE OF THE CITY
OF WEST UNIVERSITY PLACE
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.
DESIGNATED SIDE SETBACK AREAS
The ____________
1
side setback area—measured from
the ____________
1
property line of the Building Site
described above—is designated as the area ________feet
in width parallel and adjacent to such property line.
The ____________
2
side setback area—measured from
the ____________
2
property line of the Building Site
described above—is designated as the area _______ feet
in width parallel and adjacent to such property line.
1
Insert, e.g., "north", "south" or other clear identification of the first side
property line (i.e. the property line for which the first designation is made).
2
Insert, e.g., "north", "south" or other clear identification of the second side
property line (i.e. the property line for which the second designation is made).
SIGNATURE DATE
PRINT NAME
OWNER'S DESIGNATION OF SIDE SETBACK AREAS
OFFICIAL USE ONLY
STATE OF COUNTY OF
§ §
ACKNOWLEDGMENT OF FILING.
The building ofcial of the City acknowledges that this instrument
was duly led as required by the Zoning Ordinance of the City.
BY
LEGIBLE SEAL
DATE ACKNOWLEDGED
COMMISSION EXPIRATION
OFFICIAL USE ONLY
STATE OF COUNTY OF
§ §
ACKNOWLEDGMENT OF FILING.
The building ofcial of the City acknowledges that this instrument
was duly led as required by the Zoning Ordinance of the City.
BY
LEGIBLE SEAL
DATE ACKNOWLEDGED
COMMISSION EXPIRATION
PROPERTY INFORMATION
ADDRESS
LEGAL DESCRIPTION OF PROPERTY
