Boundary County Planning & Zoning

APPLICATION

ZONING CERTIFICATE:  RESIDENTIAL STRUCTURE

Mail to:  Planning & Zoning, PO Box 419, Bonners Ferry, ID 83805  Fax:  (208) 267-7814

                 Applicant's Name  ________________________________________

                                  Address  ________________________________________

                      City, State, Zip  ________________________________________

                              Telephone  ________________________________________

     Property Owner's Name  ________________________________________

Property Owner's Address  ________________________________________

Parcel Number  ______________________

      Parcel Size  ______________________

 Type Dwelling  ______________________

Site Plan (show property boundaries, existing structures and distance from property lines of new construction)

Attachments required:

   1.  Copy of deed of ownership

   2.  Application fee of $10

   APPLICANT'S STATEMENT:  I, the undersigned, understand that this zoning certificate is issued solely for the purpose of ensuring compliance with the Boundary County Zoning and Subdivision Ordinance, and that Boundary County assumes no responsibility for the safety of buildings or structures.  I further understand that this zoning certificate in no way relieves my obligation to comply with the laws of the State of Idaho applicable to building construction.

_____________________________________  ___________       ______________________________________________

Applicant's signature                                       Date                     Owner's signature (if different than applicant)

Form #17E - 11/99