Pre-Annexation Conference Application Form
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1
2PRE-ANNEXATION CONFERENCE
APPLICATION
An administrative conference is required prior to an applicant submitting a formal annexation request. This
meeting request is used for assessing the proposed annexation and potential constraints prior to applying for
the formal annexation request. Also, due to the variability in the size and disposition of annexation requests,
additional analaysis and documentation required to process the formal annexation request can be identified.
APPLICANT INFORMATION:
APPLICATION FEE: $600.00/$300.00 each follow-up meeting
Name: ______________________________
Phone: _______________
Fax: ____________________
Signature: ___________________________________
Date: ____________________________________
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:
General Location: ________________________________________________________________________
Address(es) if Applicable: _________________________________________________________________
Tax Parcel Number(s): ____________________________________________________________________
Existing Transects/Zoning:
_________________ Adjacent Transects/Zoning: ______________________
Current Land Use:
____________________
Adjacent Land Uses: ____________________________
Comprehensive Plan Land Use Map/Sector Plan Designation: _____________________________________
Community Development Department – Planning Division
408 N. Spokane St. Post Falls, ID 83854
(T): 208-773-8708
(F): 208-773-2505
Web:
Revised 9/28/12
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