RESIDENTIAL COMMERCIAL **RETAINING
LOT#
CITY/STATE/ZIP
ADDRESS
PHONE
ADDRESS
TYPE OF WALL/FENCE: *SUBDIVISION
PARCEL
SUBDIVISION/PARK
STREET ADDRESS:
PROPERTY OWNER(S)
CITY/STATE/ZIP
CONTRACTOR
CITY/STATE/ZIP
LICENSE/CLASS
HEIGHT OF FENCE/WALL IN FRONT YARD
HEIGHT OF FENCE/WALL IN REAR & SIDE YARD
VARIANCE: YES
VARIANCE: YES
NO
N/A
N
O
N/A
LINE
AL FOOTAGE *( Only required for Subdivision Walls/Fences )
HEIGHT X LENGTH = TOTAL **( Only required for Retaining Walls )
CONTACT PERSON (WHO DO WE CONTACT WHEN PERMIT IS READY FOR PICKUP AND/OR QUESTIONS?):
NAME PHONE
EMAIL
I UNDERSTAND THAT APPROVAL OF THIS APPLICATION DOES NOT GUARANTEE APPROVAL OF THE ACTUAL
CONSTRUCTION. I HEREBY CERTIFY THAT THE INFORMATION ON THIS APPLICATION AND ALL RELATED
SUBMITTALS ARE TRUE AND CORRECT.
PRINT NAME PLEASE SIGNATURE OF OWNER/ AGENT DATE
TOWN OF SUPERIOR
199 N LOBB AVE, SUPERIOR, AZ 85173/520-689-5752
WALL/FENCE PERMIT PERMIT
ZONE:
NON CONF:
AREA: N S E W
Permit :
Date:
****
*************************FOR OFFICE USE ONLY******************************
PERMIT FEE:_________________
PLAN REVIEW FEE:___________
INSPECTION FEE:______________
ECD:_________________
SUBMITTAL FEE: ______________
ZONING FEE:___________________
DESIGN FEE:___________________
PRINTING/MISC FEE:____________
TOTAL FEE:____________________
click to sign
signature
click to edit