All of the following items must be compiled and turned in to the City as a single, complete submittal packet. Submittal packets missing any required documents will not be accepted.

Owner / Applicant Information

Type of Accessory Dwelling Unit

Select only one.

Accessory Dwelling Unit Information

By signing this application, I acknowledge that I have read and understand the application, ordinances, checklists, etc., associated with this application and that all required drawings, plans, and other submittals are included and complete. Furthermore, by signing this application, I acknowledge that all submitted information is accurate and correct and understand that the above-described project must comply with and remain in compliance with the requirements of all applicable West Jordan City ordinances and standards.

Privacy Notice: The personal data being collected is included in a public record as defined under Utah Code 63G-2-301 and may be available to the public as provided in Utah Code 63G-2-201. Prior to making a record available to the public, the City of West Jordan redacts private, protected, or controlled information as defined in Utah Code 63G-2-302, 304, and 305. For more information, please contact the City’s Data Privacy Officer, Tangee Sloan – tangee.sloan@westjordan.utah.gov.

The Owner/Applicant must certify that all of the following requirements of the West Jordan City Code and Utah Code have been met. Failure to comply with all of the following requirements will result in denial of the Business License.

Please check each item to indicate compliance.

By marking and signing this document, I acknowledge that I have read the above requirements, and my initials are a statement of understanding. I also certify that the above statements and information are in all respects true and correct to the best of my knowledge and belief. I understand that if the above is determined to be incorrect or incomplete, the City of West Jordan may need to undertake zoning enforcement procedures. I further acknowledge that noncompliance with the complete terms and requirements set forth in the West Jordan City Code and The State of Utah Code shall be just cause for denial of this application or the revocation of an accessory dwelling unit permit if these requirements and the proposed conditions of the accessory dwelling unit are not met.

Any inspections as determined by the Building Official must be complete prior to registration being complete. If an inspection is required, the business license department will schedule a time for the inspection with the applicant. The City of West Jordan recommends that you call the West Jordan Building Department if you have questions about the code requirements prior to submittal.

Note: These are basic requirements. Additional items may be required after the on-site inspection is performed.

Please check each item to indicate compliance.

By marking and signing this document, I acknowledge that I have read the above requirements, and my initials are a statement of understanding. I also certify that the above statements and information are in all respects true and correct to the best of my knowledge and belief. I understand that if the above is determined to be incorrect or incomplete, the City of West Jordan may need to undertake building enforcement procedures. I further acknowledge that noncompliance with the complete terms and requirements set forth in The State of Utah Building Code shall be just cause for denial of this application or the revocation of an accessory dwelling unit permit if these requirements and the proposed conditions of the accessory dwelling unit are not met.