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HomeMy WebLinkAboutDomes_Application621 Cleveland Boulevard • Caldwell, Idaho 83605 • Phone: (208) 455-3021 • www.cityofcaldwell.com/PlanningZoning Type of Review Requested (check all that apply) Annexation/Deannexation Appeal/Amendment Comprehensive Plan Map Change Design Review Ordinance Amendment Rezone Special Use Permit Subdivision- Preliminary Plat Subdivision- Final Plat Subdivision- Short Plat Time Extension Variance Other __________________________ Subject Property Information Address: __________________________________________ Parcel Number(s): ____________________________ Subdivision: ___________________________ Block: ______ Lot: ______ Acreage: ______ Zoning: ______ Prior Use of the Property: _______________________________________________________________________ Proposed Use of the Property: ____________________________________________________________________ Applicant Information: Applicant Name: ____________________________________________ Phone: ___________________________ Address: ________________________________ City: ________________ State: ________ Zip: __________ Email: ____________________________________________________ Cell: _____________________________ Owner Name: ______________________________________________ Phone: ___________________________ Address: ________________________________ City: ________________ State: ________ Zip: __________ Email: ____________________________________________________ Cell: _____________________________ Agent Name: (e.g., architect, engineer, developer, representative) _______________________________________ Address: ________________________________ City: ________________ State: ________ Zip: __________ Email: ____________________________________________________ Cell: _____________________________ Authorization Print applicant name: ___________________________________________________________________________ Applicant Signature: ________________________________________________ Date: _____________________ STAFF USE ONLY: File number(s): ___________________________ ________________________________________ Project name: ____________________________ Date filed: ________ Date complete: _________ Related files: _____________________________ X X X X Nicolette Womack - Kimley-Horn 11/02/2023