Application To Develop In A Floodplain Area Form - Teton County printable pdf download

PERMIT APPLICATION TO DEVELOP IN A FLOODPLAIN AREA

Teton County, Idaho

The undersigned hereby makes application for a permit to develop in a designated floodplain area. The work to be

performed is described below and in attachments hereto. The undersigned agrees that all such work shall be done in

accordance with the requirements of the Teton County Flood Control Ordinance and with all other applicable local,

state and federal regulations. This application does not create liability on the part of Teton County or any officer or

employee thereof for any flood damage that results from reliance on this application or any administrative decision

made lawfully hereunder.

To expedite the review of your application, please be sure to address each of the following items.

PERSONAL AND PROPERTY RELATED DATA

Owner: ___________________________________________________________________________________

Applicant:________________________________________ E-mail :__________________________________

Phone: (

) ___________________ Mailing Address: ____________________________________________

City: _________________________________________State:__________________Zip Code:_____________

Firm/Contractor: _____________________Contact Person: ______________Phone: (

)______________

Address:__________________________________________ E-mail: __________________________________

Property Location:

Address: _____________________________________________ Parcel Number: _________________________

Section: ___________Township: ___________Range: __________ Total Acreage: _________________________

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Latest Recorded Deed to the Property

Affidavit of Legal Interest

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Fee in accordance with current fee schedule

I, the undersigned, have reviewed the attached information and found it to be correct. I also understand that the items

listed below are required for my application to be considered complete and for it to be scheduled on the agenda for the

Board of County Commissioners public hearing.

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Applicant Signature: ________________________________________ Date: _____________________

I, the undersigned, am the owner of the referenced property and do hereby give my permission to

_____________________ to be my agent and represent me in the matters of this application. I have read the attached

information regarding the application and property and find it to be correct.

•

Owner Signature:___________________________________________ Date: _____________________

Application to Develop in a Flood Plain

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Application To Develop In A Floodplain Area Form - Teton County