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:____________________
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199 N Lobb Ave, Superior, AZ 85173 T 520-689-5752
www.superioraz.gov
PROPERTY OWNER AUTHORIZATION FORM
I (property owner)
hereby authorize (owner’s agent)
To make application to Town of Superior for the following (description of work)
Assessor Parcel Number:
Physical Address:
City/Town: State: AZ Zip:
By signing this Form, I acknowledge and agree that I am not released from
responsibility for: (1) the payment of any and all fees associated with the issuance
of any permits, orders, notices or other approvals (“Approvals”) by Town of
Superior pursuant to my agent’s application; (2) the satisfactory completion of all
work authorized by such Approvals in compliance with all applicable county, state
and federal laws, codes, rules, regulations and requirements; and (3) correcting
any violations of the terms and conditions of such Approvals issued by Town of
Superior pursuant to my agent’s application.
Property Owner:
By (signature):
Name:
Phone Number:
Email:
Date:
TOWN OF SUPERIOR
199 N Lobb Ave, Superior, AZ 85173
520-689-5752
(Incomplete applications will not be accepted)
Submit
Clear
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signature
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