Subdivision / Pud Amendment Application Form - Teton County

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_____________________________
NAME OF SUBDIVSION/PLANNED UNIT DEVELOPMENT
SUBDIVISION/PLANNED UNIT DEVELOPMENT AMENDMENT APPLICATION
Upon receipt of the required materials the planning staff shall stamp the application received and prepare a staff
report. It is recommended that the Applicant review Title 9 of the Teton County Code prior to submittal. This Title
along with application materials are located on the County website at The planning
staff is also available to discuss applications and answer questions prior to receiving an application.
To expedite the review of your application, please be sure to address each of the following items.
SECTION I:
PERSONAL AND PROPERTY RELATED DATA
Owner: ___________________________________________________________________________________
Applicant:________________________________________ E-mail :__________________________________
Phone: (
) ___________________ Mailing Address: ____________________________________________
City: _________________________________________State:__________________Zip Code:_____________
Engineering Firm: _____________________Contact Person: ______________Phone: (
)______________
Address:__________________________________________ E-mail: _________________________________
Location and Zoning District:
Address: _____________________________________________ Parcel Number: ______________________
Section: ___________Township: ___________Range: _________ Total Acreage: ______________________
Proposed Units/ Lots: _______________________ Current Units/Lots: ______________________________
Code Approved Under:
FEES (pursuant to current fee schedule)
Insignificant
Affidavit of Legal Interest
Substantial Increase Scale/Impacts
Engineer/Surveyor review cost
Substantial Decrease Scale/Impacts
Taxes Current
Fees are non-refundable.
Teton County, Idaho/Amended Plat Application/ 5.6.2011
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