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2. First Name *
3. Last Name*
4. Mailing Address*
6. Email Address*
7. Phone Number
9. Applicant First Name*
10. Last Name*
11. Name of Firm
13. Mail Addresss*
14. Email Address*
15. Phone Number
17. Please check appropriate box

    1. Authorized agent for owner
    2. Contractual interest in property
18. Please describe interest
20. Street Address*
21. Legal Description*
    Please include Subdivision Lot and Block # or Township Range Section
22. Parcel Number
24. Present Land Use
25. Does the landowner own property adjacent to the property for which a parcel determination is being requested?

    1. yes
    2. no
26. If yes, please explain
28. Additional Information: The following information is required to be submitted with the request for a parcel determination:
    1. The recorded deeds for the property as of April 14, 1977, the effective date of the County zoning and subdivision ordinances. 2. All other deeds transferring title of the property from the deed of record as of April 14, 1977, up to and including the current recorded deed. Assemble all deeds in date order and indicate the tax lot numbers or parcel numbers they refer to. 3. Map of the property in sufficient detail to determine property location relative to surrounding properties. The Assessor’s office located on the first floor of the Annex Building can assist you in obtaining parcel maps. The Assessor’s office can be reached at (208) 788-5535. 4. Indicate on parcel map those parcels that have been developed. 5. Parcel Determination fee of $175.00 by Blaine County Resolution #2010-61. Based upon a particular situation, additional information may be required by the Administrator to render a decision on the parcel determination.
30. Acknowledgement
    The undersigned certifies that (s)he is the owner or authorized representative of the land in question and that (s)he has filed this application to the best of his/her knowledge. Furthermore, the undersigned has assembled and organized the required submittal materials to facilitate the processing of this request.
32. Signature of Applicant or Agent
33. Date
Leave This Blank:


35. 1. Receive an email copy of this form.
36. Email address

    This field is not part of the form submission.

37. Submit

* indicates a required field