Fill - Free fillable EXEMPTLANDDIVISIONAPPLICATION(EXD) Planning&BuildingServicesDepartment PlanningDivision ForOfficeUseOnly PROPERTYINFORMATIONListallexistingparcelsinvolvedintheexemptlanddivision. (Teton County Wyoming PDF form

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EXEMPTLANDDIVISIONAPPLICATION(EXD)

Planning&BuildingServicesDepartment

PlanningDivision





200S.WillowSt.

P.O.Box1727

Jackson,WY83001

ph:(307)733‐3959

www.tetoncountywy.gov







ExemptLandDivisionApplication

1 Updated4/15/2019

ForOfficeUseOnly

Application#PlanningSufficiencydeclaredby:

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PROPERTYINFORMATIONListallexistingparcelsinvolvedintheexemptlanddivision.

PhysicalAddress: PIDN:



OWNERS

Name: Phone:

MailingAddress: ZIP:

E‐mail:

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APPLICANT/AGENT

Name: Phone:

MailingAddress: ZIP:

E‐mail:

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DESIGNATEDPRIMARYCONTACT

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 Owner  Applicant/Agent

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EXEMPTLANDDIVISIONThefollowingdivisionsoflandareexemptfromtherequirementsofSection8.5.3,SubdivisionPlatofthe

TetonCountyLDRs,perWyomingStatute§18‐5‐303.Pleaseindicatethetypeofexemptlanddivisionyouarepursuingandprovide

supportingdocumentationdemonstratingthatyoucomplywithallrelevantstandardsforthedivisiontype.

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 Adivisionwhichcreatescemeterylots

 Adivision which is createdbythesaleorother disposition of land to the state of Wyoming or any political subdivision

thereof.

 Adivisionwhichmaybecreatedbyanycourtofthisstatepursuanttothelawofeminentdomain,byoperationoflaw,or

byorderofanycourtin this state, except that this paragraphshall notexempt a partition of realproperty pursuantto

WyomingStatute§1‐32‐101through1‐32‐122fromcompliancewiththisarticleifthedivisionwouldotherwisebesubject

totheprovisionsofthisarticle

 A

divisionwhichaffectsrailroadrights‐of‐way

 Adivisionwhichisasaleorotherdispositionoflandforagriculturalpurposesoraffectsthealignmentofpropertylinesfor

agriculturalpurposes

 A division of land creating a parcel 5 acres or less for the purpose of establishing unmanned communication facilities,

compressorstations,meteringstations,fiberopticboosterstations,orsimilarunmannedfacilities



ExemptLandDivisionApplication

2 Updated4/15/2019



 The sale or other disposition of land where the parcels involved are 35 acres or larger, subject to the following

requirements:

 Ingressandegressandutilityeasementsareprovidedtoeachparcelbybindingandrecordableeasementsofnot

lessthan40feetinwidthtoapublicroad,or

 Granteeortransfereespecificallywaivestheaboverequirementinabindingandrecordabledocument.

 A division of land made outside of a platted subdivision for the purpose of a single gift or sale to a member of the

landowner’simmediatefamily,subjecttothefollowingrequirements:

Pleaseattachrelevantdocumentationdemonstratingcompliancewitheachrequirement.Ifastandardisnotapplicable

toyoursituation,simplywrite“N/A.”

 The grantee is a member of the immediate family, limited to any person who is a natural or adopted child,

stepchild,spouse,sibling,grandchild,grandparent,orparentofthelandowner.

 Thepurposeofthedivisionistoprovideforthehousing,businessoragriculturalneedsofthegrantee.

 Thelandshallhavebeentitledinthenameofthegrantorforaperiodofnotlessthan5yearspriortothedivision

andparcelscreatedunderthisparagraphshallbetitledinthenameoftheimmediatefamilymemberforwhom

thedivisionismadeforaperiodofnotlessthanoneyearunlesssuchparcelsaresubjecttoinvoluntarytransfer

including,butnotlimitedto,foreclosure,death,judicialsale,condemnationor

bankruptcy.

 Noparcelsmallerthan 5acrescreatedunderthisparagraphshallbefurtherdividedexceptincompliancewith

Section8.5.3oftheLDRs.

 Wherethelandownerisacorporationand80%ofthesharesareheldbyindividualsrelatedbybloodormarriage,

the sale or gift may be made subject to the provisions of this Section to an immediate family member of any

shareholderwhohasownedatleast5%of theoutstandingsharesforatleast5yearscontinuouslybeforethedate

ofthesaleorgift.

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SUBMITTAL REQUIREMENTS Please ensure all submittal requirements are included. The Planning Department will not hold or

processincompleteapplications.



 ElectronicSubmittalAcompletedigitalfileoftheapplicationwithattachments/plans.

_______HardCopySubmittalAcompleteprintedfileoftheapplicationwithattachments/plans.

 NotarizedLetterofAuthorizationAnotarizedletterofconsentfromthelandownerisrequirediftheapplicantisnotthe

owner.PleaseseetheLetterofAuthorizationtemplateintheAdministrativeManualforasample.

 CorporationsandPartnershipsIftheownerisapartnershiporcorporation,proofthattheownercansignonbehalfofthe

partnershiporcorporation.

 CopiesofDocumentstobeRecordedPleaseattachcopiesofdeeds,recordsofsurvey,contractsfordeeds,mapsorother

instrumentsthatwillberecordedwiththeCountyClerktoaccomplishtheproposeddivision.

 MapofSurveywithCertificateofAcknowledgementAmapofsurveywithcertificateofacknowledgedbyallownersof

recordstatingthatthedivisionisexemptedfromreviewasasubdivisionunderWyomingStatute§18‐5‐303.

 AdditionalDocumentationDocumentsrequiredregardingdivisionsoflandequaltoorlargerthan35acresordivisions

outsideofaplattedsubdivisionforthepurposeofagiftorsaletoafamilymember.Seeaboverequirements.



RECORDATIONUpondeterminationbythePlanningDepartmentthattheclaimedexemptionisexempt,thePlanningDirectorwill

acknowledgethedivisionon a separatecertificate that willbeprovidedto you within sevendaysofSufficiency.Theapplicantis

responsibleforrecordingthecertificateandallotherinstruments,mapsordocumentswiththeCountyClerkinordertocomplete

theexemptlanddivision.



NOTICEReviewandacknowledgementofanExemptLandDivisionservessolelyasconfirmationthattheproposeddivisionmeets

theexemptioncriteriaoutlinedinWyomingStatute§18‐5‐303,basedontheinformationandacknowledgementsprovidedby

theapplicant.AcknowledgementofanExemptLandDivisionbythePlanningDirectordoesnotconstitutereviewoftheproposed

divisionforcompliancewithanyotherapplicablestandardsoftheTetonCountyLandDevelopmentRegulationsandTetonCounty

Resolutions, nor does it approve or guarantee any future development on the subject property. Future development will be

subjecttoreviewforcompliancewiththeLandDevelopmentRegulations.



ExemptLandDivisionApplication

3 Updated4/15/2019

Underpenaltyofperjury,IherebycertifythatIhavereadthisapplicationandstatethat,tothebestofmyknowledge,allinformation

submittedinthisrequestistrueandcorrect.Iagreetocomplywithallcountyandstatelawsrelatingtothesubjectmatterofthis

application.



SignatureofApplicant/OwnerorAuthorizedAgent Date



NamePrinted Title/Role



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EXEMPTLANDDIVISIONAPPLICATION(EXD) Planning&BuildingServicesDepartment PlanningDivision ForOfficeUseOnly PROPERTYINFORMATIONListallexistingparcelsinvolvedintheexemptlanddivision. (Teton County Wyoming Government)

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