Special Use Permit Application Form Page 2
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1
2SPECIAL USE PERMIT CHECKLIST: (to be completed by Staff)
YES
NO
Checked by: _________________________
Date: ___________________
_____
_____
Completed Special Use Permit Application
_____
_____
Application Fee per most recently adopted Fee Resolution
_____
_____
A narrative statement identifying the present Comprehensive Plan designation,
the relationship of the proposed use to the Comprehensive Plan and
compatibility with adjacent and other properties in the district.
_____
_____
A conceptual plan of the proposal (no larger than 11x17), as applicable.
_____
_____
A vicinity map (no larger than 11x17).
_____
_____
Authorization Letter (if applicant is other than property owner/contract buyer).
_____
_____
A certificate, by a Title Company licensed in the State of Idaho, as to
ownership of record and any interest of record in the subject property and a list
of property owners of record within 300 feet of the external boundaries of the
proposed development.
_____
_____
The Planning Department will mail an invoice to the applicant for the public
hearing mailing fees; these fees must be paid before the application is placed
on the agenda.
Note: All exhibits presented w ill need to be identified at the meeting, will be entered into the record, and
retained on file.
The applicant (or a representative) must be at the meeting representing th is proposal or the application will
not be heard.
I (We) the undersigned, do hereby make petition for a Special Use Permit of the p roperty described in th is
petition and do certify that we have provided accurate information as required by this petition form to the
best of my (our) ability.
DATED THIS _______________
DAY OF ____________________________
20 ____________
Applicant’s Signature(s)
___________________________________________________
___________________________________________________
_____________________________________________________________
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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