Building Permit Setback Compliance Form

Building Permit Setback Compliance Form
Document all required details for setback compliance review as part of your building permit application.
Applicant Name
First NameLast Name
Applicant Email Address
example@example.com
Project Address
Street Address
Street Address Line 2
CityState / ProvincePostal / Zip Code
Parcel or Lot Number
Zoning District
Proposed Structure Type
Required Setbacks (in feet)
Rows Front Rear Left Side Right Side
Required
Proposed
Site Plan Upload (PDF, JPG, or PNG)
Cancelof
Date of Submission
MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Reviewer Comments
Compliance Status
Should be Empty:

Rows	Front	Rear	Left Side	Right Side
Required
Proposed