Special Use Permit Application Form
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SPECIAL USE PERMIT
APPLICATION
The purpose of a Special Use Permit is to establish procedures for the review and approval of uses that are not
permitted by right in any particular zoning district.
(For additional information on this process and requirements please see PFMC 18.20.070)
APPLICANT INFORMATION:
APPLICATION FEE: $750.00
Name: ______________________________
Phone: _______________
Fax: ____________________
Signature: ___________________________________
Date: ____________________________________
Street Address: ___________________________________
E-Mail: ______________________________
City: ________________________________________
State: __________
Zip: ___________________
OWNER INFORMATION:
Name: ________________________________Phone: _____________________ Fax: __________________
Street Address: _____________________________ E-Mail: ______________________________________
City: ______________________________________ State: _____________ Zip: ______________________
APPLICANT STATUS: Owner: _____
Agent: _____
Tenant: _____
Contract Buyer: ___________
ENGINEER: _____
SURVEYOR: _____
PLANNER: _____
OTHER: __________ (specify)
Name: ______________________________
Phone: _______________
Fax: ____________________
Signature: ___________________________________
Date: ____________________________________
Street Address: ___________________________________
E-Mail: ______________________________
City: ________________________________________
State: __________
Zip: ___________________
SITE INFORMATION:
Proposed Project Name: ____________________________________________________________________
General Location or Address if Available: ______________________________________________________
Legal Description: _________________________________________________________________________
Description of Project: ______________________________________________________________________
Existing Zoning:
____________________
Adjacent Zoning: ______________________________
Current Land Use:
____________________
Adjacent Land Uses: ____________________________
Size of Site: ______________________________ Site Density (if applicable): ________________________
Community Development Department – Planning Division
408 N. Spokane St. Post Falls, ID 83854
(T): 208-773-8708
(F): 208-773-2505
Web:
Revised 10/1/09
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