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.

I/We, the undersigned real property owners, hereby acknowledge that the single-family residential home located at:

is approved to have an internal external accessory dwelling unit pursuant to §13-5B-8 of the West Jordan City Code and §10-9a-530 of the Utah Code in effect as of this date.

I/We acknowledge the accessory dwelling unit is required to continuously meet all requirements of the City of West Jordan’s land use ordinances and all other applicable laws, including the requirement that only one (1) accessory dwelling unit is allowed per property. By signing this document, I/we understand that in choosing to create one type of accessory dwelling unit, I/we forfeit the choice to create the other. I/We also understand that this permit is intended to be a covenant running with the land and that the conditions of approval shall be binding upon any successor in ownership of the property. I/We thus certify that should I/we decide to sell/transfer the property, I/we will notify future buyers that noncompliance with the conditions of approval may result in the revocation of the accessory dwelling unit permit.

By signing this document, I/we assume responsibility to comply with the complete terms and requirements outlined in West Jordan City Code §13-5B-8 and Utah Code §10-9a-530 and any further restrictions that codes, covenants, and regulations may impose. Further, by signing this document, I/we authorize annual inspections of the accessory dwelling unit by City Staff. Finally, I/we understand that the City of West Jordan is not guaranteeing or stating that the primary dwelling unit or accessory dwelling unit are compliant with all building, safety, and fire codes.

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