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PLANNING & ZONING DEPARTMENT 152 East Ave A, Jerome, ID 83338 Phone (208) 324-8189 Email: [EMAIL REDACTED] Lot Line Adjustment Application APPLICANT Name: Address: City: _ Phone / Cell: REPRESENTATIVE Name: Address: City: Phone / Cell: Lot #1 (Lot to be reduced) 1. Parcel No. (i.e. RPJ10702070041A) 2. Copy of deed showing ownership including legal description (Obtained from the County Clerk’s Office) 3. Current Lot Size: Lot Size Reduced by: Lot Size Created: 4. Address of Lot (if known): Lot #2 (Lot to be increased) 5. Parcel No. (i.e. RPJ10702070041A) 6. Copy of deed showing ownership including legal description (Obtained from the County Clerk’s Office) 7. Current Lot Size: Lot Size Increased by: Lot Size Created: 8. Address of Lot (if known): GENERAL INFORMATION 9. Zone: Residential 1 Residential 2 Residential 3 Residential Multi-Family C1 Neighborhood Business C2 General Business C3 High Density Business Central Business District M1 Light Industrial M2 Heavy Industrial Public/Semi Public Mixed Use 10. Site Plan: Must be Mechanical Drawings which are descriptive precision drawings to scale, done with the aid of drafting implements such as a ruler, T squares, compasses, etc. May be drawn by hand or computer-aided design programs. 11. Other: any such information as may be deemed necessary by the Planning & Zoning Administrator. I hereby certify that I have familiarized myself with the rules and regulations for filing this application, and the information I have provided is accurate to the best of my belief. Signature / Printed Name of Owner of Lot #1 Date Signature / Printed Name of Owner of Lot #2 Date ---PAGE BREAK---