Boundary County, Idaho

Site Development Permit Preliminary Application

1. Applicant/Owner Information

Parcel No.: __________________________________________________

Applicant's Name: _____________________________________________

Telephone: ___________________________________________________

Address: _________________________________________  [  ] Unknown

City, State, Zip: _______________________________________________

Property Owner Name: _________________________________________

Owner Mail Address: ___________________________________________

City, State, Zip: _______________________________________________

2. Services and Utilities:

Road Access: ________________________________________________

Water: _____________________________________________________

Sewer: _____________________________________________________

Electric: ____________________________________________________

Gas: _______________________________________________________

Telephone: __________________________________________________

Fire Protection: _______________________________________________

3. Known Hazards/Special Areas:

___________________________________________________________

___________________________________________________________

4. Primary Improvement:

Building Type: ___________________________________ Sq. Footage: ____________

Const. Standard __________ Setbacks: Front _____ Side 1 ____ Side 2 ____ Rear ____

Built By: ______________________________________________ Height: __________

Designed By: _____________________________ Expected Completion Date: ________

5. Accessory Structures:                                                                     Setbacks

6. Notes:

7. Site Sketch

Please show parcel or lot boundaries and dimensions, easements, driveway access, surface water, hazardous or special areas,

existing structures and dimensions, and proposed buildings or structures.

9. Detailed Description of Proposed Use: __________________________________________________________________________________________

__________________________________________________________________________________________

__________________________________________________________________________________________

__________________________________________________________________________________________

__________________________________________________________________________________________

__________________________________________________________________________________________

NOTE: This is a preliminary form only and information provided will be used to generate an official form, which will be returned to the applicant by mail indicating the type permit required, the applicable fee and additional information. Once completed, this form should be mailed to: Planning and Zoning, P.O. Box 419, Bonners Ferry, ID 83805, faxed to (208) 267-7814, or brought to Room 16 of the Boundary County Courthouse. For additional information, call (208) 267-7212.