DESIGNATED PRIMARY CONTACT.
Applicant/Owner Environmental Professional
SUBMITTAL REQUIREMENTS.
One copy of the application package (this form, plus all applicable attachments) should be
submitted to the Planning Department. The initial application submittal may occur electronically, but one hard copy of all
materials is required for an application to be found sufficient.
Please ensure all submittal requirements are included. The Planning Department will not hold or process incomplete applications.
Have you attached the following?
Application Fee. See the currently adopted Fee Schedule in the Administrative Manual for more information.
Notarized Letter of Authorization.
A notarized letter of consent from the landowner is required if the applicant is not the
owner, or if an agent is applying on behalf of the landowner. If the owner is a partnership or corporation, proof that the
owner can sign on behalf of the partnership or corporation is also required. Please see the Letter of Authorization
template in the Administrative Manual for a sample.
Response to Environmental Analysis Pre-Application Conference Summary Checklist. During the pre-application
conference, you
will be provided with a summary and checklist of applicable LDR standards and requirements that must
be addressed for a sufficient application.
Under penalty of perjury, I hereby certify that I have read this application and associated checklists 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, and hereby authorize representatives of Teton County to enter upon the above-
mentioned property during normal business hours, after making a reasonable effort to contact the owner/applicant prior to
Signature of Owner or Authorized Applicant/Agent
EVA Application 2 Effective 01/01/2015
