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Lot Split Application
City of Rexburg
35 North Pt East Phone: 208.359.3020
Rexburg, ID 83440 www.rexburg.org Fax: 208.359.3022
Submittal Requirements
ci'r Y or
REXBURG
Amerka''s Aimi..y c ommsodry
Lot Combination Fee: $50.00
Fee(s) Paid: Yes/No
[] Complete Application E:] Legal Description-fornewboundary
EA Affidavit of Legal Interest: If you are the property owner's agent, you are required to provide a
notarized letter from the property owner authorizing submittal of this application.
O 4 copies of application and supporting documents
O Digital .pdf copy of application and supporting documents
OWNER OF RECORD
Name: Ronald M. Hokanson and Karlee H. Hokanson Address: 311 N 2' W
City/ST/Zip: Rexburg, ID 83440 Telephone: 307-752-4602
Email: Fax:
Name: Eric L. Olsen / Echo Hawk & Olsen PLLC Address: 505 Pershing Avenue, Suite 100
City/ST/Zip: Pocatello. ID 83201 Telephone: 208-478-1624
Email: elo@echohawk.com Fax: 208-478-1670
SUBDIVISION INFORMATION
Subdivision Name: LOT 1. BLOCK 7. Map of Rexburg Townsite Madison County Idaho
Property Address(es) 355 N 2"d W. Rexburg. ID 83440
Existing Zoning. LDR2
Intended Land Use (Circle) residential, single-family, multi -family, commercial, industrial
Lot Types Number of Lots Acres
Residential 1 (South Parcel) .53
Dwelling Units Per acre (gross/net)
Commercial
1 (South Parcell_
Industrial 1 (North Parcel) .38
Common (Landscape, Utility, Other)
Open Space
Total
39 652 sq. ft
I understand this application is subject to acceptance by the City of Rexburg upon determination that the
application is complete. The application fee is non-refundable. All information, statements, attachments, and
exhibits included with the application submittal arq-true to the best of my knowledge.
Signature of
Lot Split Process
1. Complete application is turned in and fees are paid
2. GIS Review
3. Quitclaim Deed recorded at the County — Deed the new boundary for parcels back to yourself
4. Communicate record number to the City
5. Boundary changes are made on the GIS map
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