Fill - Free fillable PLANNINGPERMITAPPLICATION Planning&BuildingServicesDepartment PlanningDivision ForOfficeUseOnly FeesPaid Check#CreditCard Cash (Teton County Wyoming Government) PDF form

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PLANNINGPERMITAPPLICATION

Planning&BuildingServicesDepartment

PlanningDivision

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

200S.WillowSt.

P.O.Box1727

Jackson,WY83001

ph:(307)733‐3959

www.tetoncountywy.gov

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PlanningPermitApplication

1 Updated4/15/2019

ForOfficeUseOnly

FeesPaid

Check#CreditCard  Cash 

Application#s

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PROJECT

Name/Description:

PhysicalAddress:

Lot,Subdivision: PIDN:

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OWNER

Name: Phone:

MailingAddress: ZIP:

E‐mail:

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APPLICANT/AGENT

Name: Phone:

MailingAddress: ZIP:

E‐mail:

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DESIGNATEDPRIMARYCONTACT

 Owner  Applicant/Agent

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TYPEOFAPPLICATIONCheckallthatapply;seetheapplicableapplicationsubmittalchecklistsandPlanningFeeScheduleonline.

UsePermit PhysicalDevelopment Interpretations

 BasicUse

 ConditionalUse

 SpecialUse

 SketchPlan

 DevelopmentPlan

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 FormalInterpretation

 ZoningComplianceVerification

RelieffromtheLDRs DevelopmentOption/Subdivision AmendmentstotheLDRs

 AdministrativeAdjustment

 Variance

 BeneficialUseDetermination

 AppealofanAdmin.Decision

 DevelopmentOptionPlan

 SubdivisionPlat

 BoundaryAdjustment(replat)

 BoundaryAdjustment(noplat)

 LDRTextAmendment

 ZoningMapAmendment

 PlannedUnitDevelopment

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PlanningPermitApplication 2 Updated4/15/2019

PRE‐SUBMITTALSTEPSPre‐submittalsteps,suchasapre‐applicationconference,environmentalanalysis,orneighborhood

meeting,arerequiredbeforeapplicationsubmittalforsomeapplicationtypes.SeeSection8.1.5,SummaryofProcedures,for

requirementsapplicabletoyourapplicationpackage.Ifapre‐submittalstepisrequired,pleaseprovidetheinformationbelow.If

youneedassistancelocatingtheprojectnumberorotherinformationrelatedtoapre‐submittalstep,contactthePlanning

Department.Ifthisapplicationisamendingapreviousapproval,indicatetheoriginalpermitnumber.

Pre‐applicationConference#:  EnvironmentalAnalysis#:

OriginalPermit#:  DateofNeighborhoodMeeting: 

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SUBMITTAL REQUIREMENTS Please ensure all submittal requirements are included. The Planning Department will not hold or

processincompleteapplications.Partialorincompleteapplicationswillbereturnedtotheapplicant.

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 ApplicationFeeFeesarecumulative.Applicationsformultipletypesofpermits,orformultiplepermitsofthesametype,

requiremultiplefees.SeethecurrentlyadoptedPlanningFeeScheduleonthecountywebsiteformoreinformation.

 ElectronicSubmittalAcompletedigitalfileoftheapplicationwithattachments/plans.

 HardCopySubmittalAcompleteprintedfileoftheapplicationwithattachments/plans.

 NotarizedLetterofAuthorizationAnotarizedletterofconsentfromthelandownerisrequirediftheapplicantisnotthe

owner.PleaseseetheLetterofAuthorizationtemplateonthecountywebsiteforasample.

 CorporationsandPartnershipsIftheownerisapartnershiporcorporation,proofthattheownercansignonbehalfofthe

partnershiporcorporation.

 ResponsetoSubmittal Checklist All applications requireresponse to applicable review standards. These standardsare

outlined on the submittal checklists for each application type. If a pre‐application conference is held, the submittal

checklistswillbeprovidedattheconference.Ifnopre‐applicationconferenceisrequired,pleaseseethewebsiteforthe

applicablechecklists.Thechecklistisintendedasareferencetoassistyouin

submittingasufficientapplication;submitting

acopyofthechecklistitselfisnotrequired.

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FORMAT

ThemaincomponentofanyapplicationisdemonstrationofcompliancewithallapplicableLandDevelopmentRegulations(LDRs)

andResolutions.ThesubmittalchecklistsareintendedtoidentifyapplicableLDRstandardsandtooutlinetheinformationthatmust

besubmittedtosufficientlyaddresscompliancewiththosestandards.

Forsomesubmittalcomponents,minimum

standardsandformattingrequirementshavebeenestablished.Thosearereferenced

on the checklists where applicable. For all other submittal components, the applicant may choose to make use of narrative

statements,maps,drawings,plansandspecifications,tablesand/orcalculationstobestdemonstratecompliancewithaparticular

standard.

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Note:Information provided by

 the applicant or other review agencies during the planning process may identify other

requirements that were not evident at the time of application submittal or a Pre‐Application Conference, if held.Staff may

requestadditionalmaterialsduringreviewasneededtodeterminecompliancewiththeLDRs.

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Underpenaltyofperjury,IherebycertifythatIhavereadthisapplicationandassociatedchecklistsandstatethat,tothebestofmy

knowledge,allinformationsubmittedinthisrequestistrueandcorrect.Iagreetocomplywithallcountyandstatelawsrelatingto

thesubjectmatterofthisapplication,andherebyauthorizerepresentativesofTetonCountytoenterupon theabove‐mentioned

propertyduringnormalbusinesshours,aftermakingareasonableefforttocontacttheowner/applicantpriortoentering.

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SignatureofOwnerorApplicant/AuthorizedAgent Date

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NamePrinted Title/Role

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