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CW#P&ZDate
Conditional Use PermitApplication
All Zones –LandUses
City ofRexburg
Phone: 208.359.3020
35 North 1East
st
www.rexburg.org
Fax:208.359.3022
Rexburg, ID 83440
TIME: About 80 days
CUP: $250.00
Publication: $300.00
Total Fees Due: $550.00
Fee(s) Paid: Yes/No
Submittal Requirements
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.
Site Plan showing all access for vehicles and pedestrians, changes in parking, loading spaces, garbage,
snow storage, etc.
Four (4) copies of this application and all supporting documents will beneeded
Digital .pdf copy of application and supporting documents submitted to Planning & Zoning office
APPLICANT
Name: Address:
City/ST/Zip: Telephone:
Email: Fax:
OWNER OFRECORD
Name: Address:
City/ST/Zip: Telephone:
Email: Fax:
PROPERTY to be Covered by Permit
Address:Zone:
Acres: Density requested per acre:
Name of subdivision _______________________________________________________________
Have you reviewed any neighborhood covenants prior to filing this application? _________________
Please complete the following:
1.What is the existing use ofproperty?___
2.What is the requested use? _______________
3.Are there similar uses in the area? Yes No If yes, what are the similar uses and where are theylocated?
4.How does the proposed change achieve or further promote the overall objectives of the Comprehensive
Plan? _______________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
5.What negative impacts or nuisances might be a result of the proposed change of use?
____________________________________________________________________________________
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6.What buffers are being proposed to mitigate these negative impacts or nuisances?
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
7.What infrastructure will be needed to service the proposed use? How will this infrastructure be provided?
8.What, if any, signage is anticipated in connection with the proposed usage?_
9.What is the estimated daily traffic to be generated? Will the traffic be primarily private vehicles or
commercial trucks?
10.Whatprovisionshavebeenmadeforfireprotection?Whereisthenearestfirehydrant?Isanypointofthe
building further than 150 feet from access sufficient in width for fire-fighting equipment?
11.What is the estimated water usage permonth?
12.What is the estimated sewer usage per month? Will pretreatment be necessary?
13. Please provide the following if applicable:
How many units are there currently? ______________________________________________
How many units are planned? _______________ beds per unit? ________________________
If a commercial, multi-family, or public assembly use, where is the nearest
collector street? __________________________Arterial street? _________________________________
BUSINESS
Building sq. ft. ______________________ Business within building's sq. ft. ____________________
What changes are being made to the building? ________________________________________________
____________________________________________________________________________________
Will goods and services be produced on the premises? Yes No
What kinds of supplies will be stored on the premises? _____________________________________________
________________________________________________________________________________________
Maximum people the business will service at one time _______________________
Proposed hours of operation ______________________
Conditional Use Permit Procedures
1.Complete application is received and fees arepaid.
2.Proposal is placed on internal Strategic Development meeting for staff taking place Tuesdays at 4p.m.
3.Documents are transmitted to staff for review.
4.Planning and Zoning Commission meeting is scheduled.
5.Notification is mailed to landowners within 300’ 15 days before hearing.
6.Proposal is posted on the property.
7.Staff Review is sent to applicant.
8.P&Z Agenda is published & sent to applicant
9.Hearing is placed before Planning and Zoning Commission.
10.If a material change is requested, another hearing may be scheduled before the Commission.
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11.If park, nursery school, day care centers, churches, synagogues, temples, funeral orcrematory service, home
occupation, development with 4 or less dwelling units, gov. buildings, household goods warehouse and
storage, or reduce parkingspace size in parking structures, the permit needs only go through Commission.
12.All other uses also go before City Council.
13.If material changes to the permit are made, additional City Council hearing will be needed.
14.Applicant receives a copy of the conditions of the permit to sign.
15.Signed CUP recorded at Madison County. (*If conditions are not met within 90 days. CUP will be revoked.)
Allapplicationsthatarecompletewillbeprocessedwithduediligenceandwillbescheduled,dependent
upon availability, for an upcoming agenda.
Formal notice will be sent to the applicant after approval of a Conditional Use Permit. Notice will state the
conditions of the permit. If conditions are violated or not met there will be a 90-day period to cure the
problem. Failure tocomply with theterms may result in revocation of theConditional Use Permit.
Signature of ApplicantDate
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