APPLICATION FOR LETTER OF COMPLIANCE

APPLICATION FOR LETTER OF COMPLIANCE
APPLICATION FOR LETTER OF COMPLIANCE

Contractor wner OApplicant (PLEASE PRINT)
Date*

MonthDayYear
Date
APPLICANT TYPE

CONTRACTOROWNER
NAME
OWNER (if different than applicant)
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
LOCATION OF PROPERTY
Side of

NSEW
STREET AND NUMBER OF PROPERTY
# of Feet
From the Intersection of
Check if Interior

check if interior
Description of Type of Construction
BUILDING STRUCTURE TYPE

BrickFrame
If other then Brick or Frame, describe here:
Width
Average Width if Pie Shaped
Height
Depth
Cubic Feet
Size of Lot - Width
Size of Lot - Depth
Total Area
Sq. Ft.
*Building Lines - From Property Line to Building or Structure Must Adhere to Subdivision Restrictions.
Front
Side
Side
Rear
Use of Proposed Building or Structure

ResidentialAptOfficeIndustrialCommercial
Number of Bedrooms
Describe Proposed Use
Present Use of Buildings or Structures and/or Lot
Two Plans must be submitted with this application showing the size and location of the Lot, the dimensions and location of the proposed building or structure on the lot and the dimensions and location of the existing building or structures on the lot.
PLANS UPLOAD

Cancelof
Estimated Cost (Excluding Land)
List Sub-Contractors
PLEASE READ BEFORE SIGNING
This permit does not cover:

1.Driveways -You must apply for a separate permit.

2.Must have a Current Business License with St. Matthews.

3.All Sub-Contractors must have a Current Business License.
Signature of Applicant

Clear
(Telephone Number)
Should be Empty:

APPLICATION FOR LETTER OF COMPLIANCE

PLEASE READ BEFORE SIGNING