Fillable $375 BLA Application Fee $200 Land Development Review (Lewis County)

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$375 BLA Application Fee $200 Land Development Review (Lewis County)

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Lewis County Community Development
2025 NE Kresky Ave, Chehalis, WA 98532 Phone: (360) 740-1146 ● Fax: (360) 740-1245
BOUNDARY LINE ADJUSTMENT
Base fees:
$375
$200
BLA Application Fee
Land Development Review Fee
Public Works Review Fee
Public Works Final Map Review Fee
Total Base Fees
$925
Additional fees that may apply at the time of application:
$125
$125
Environmental Health (Water)
Environmental Health (Septic)
Per LCC 16.02.040(8)(a)(i), if the
proposed BLA has any structure(s),
individual wells or septic systems, the application shall be reviewed by
Lewis County Public Health for compliance with health regulations.
Prior to recording final documents for this
activity, all property taxes, assessments and
recording fees must be paid.
Contact the Lewis County Treasurer’s office and
the Lewis County Auditor’s Office for complete
information
.
$150
$200
S:\COMMUNITY DEVELOPMENT\Applications & Forms\Currently on Website
Updated January 2018
2025 NE Kresky Ave, Chehalis, WA 98532 Phone: (360) 740-1146 ● Fax: (360) 740-1245
Lewis County Community Development
Process:
(NOTE: Only parcels that are legal lots of record for building sites shall be allowed to complete the BLA process). Once all of
the application is deemed complete, the administrator will send the complete application to Public Works and
Environmental Health for review. Once the review period is over, the applicant will receive notification if the Boundary
Line Adjustment Map is ready for recording or if more information or changes are required.
If the Boundary Line Adjustment is exempt from subdivision regulations per Chapter 58.17 RCW and Title 16 LCC and the
adjustment does not create any additional building lot, tract, parcel, building site, or division nor create any building lot, tract,
parcel, building site, or division which contains insufficient area and dimensions to meet minimum requirements for a building
site, and the adjustment meets all other regulations in the Lewis County Code, and applicable laws, the administrator shall
APPROVE the application provided that the portion being transferred shall be combined with the Grantee’s parcel.
If the proposed property transfer creates an additional building lot, tract, parcel, building site or division or otherwise subject
to the requirements of a subdivision, is not in the public interest, or is not consistent with the Lewis County Code or state law
as defined under Chapter 58.17 RCW, the Administrator shall DENY the application.
Recording of Approved Boundary Line Adjustment Map:
All costs associated with the recording of the final map shall be paid by the applicant. All property taxes and assessments
shall be paid in full for the year in which the BLA map is recorded. Within 30 days of the final approval of a proposed
boundary line adjustment, the following need to be recorded at the Lewis County Auditor’s Office:
• The final map
• New certified legal descriptions of all properties incorporated in the BLA
Recording a Boundary Line Adjustment (BLA) map and other documents does NOT convey property from the grantor to the
grantee, it only shows intent. The actual conveyance must be completed by recording deeds. If you are not familiar with the
requirements for preparation of a quit claim, statutory warranty deed, or other legal means of conveyance of title and cannot
execute same, you need to consult an attorney in order to make sure title is conveyed to the grantee for your protection and
to ensure that title is conveyed. The Community Development Department will not provide deeds or help create deeds to
transfer or convey the property.
Mortgage or Lien:
If there is a mortgage or other lien on the title of the land being conveyed, you should contact the lender, mortgage holder,
or lien holder regarding their legal rights and approval prior to execution of a BLA. You may wish to contact an attorney
regarding the appropriateness of a BLA if you are the grantor and your property is mortgaged.
Special Tax Programs:
If your parcel is in a special tax program such as Open Space Farm and Agricultural Land, Open Space Timber, or Designated
Forest Land, or if you are getting a Senior Exemption on your taxes, you are encouraged to discuss any considered boundary
line adjustments with the Assessor’s Office BEFORE making those changes. Boundary line adjustments may involve undesired
tax consequences. You may reach the Assessor’s Office at (360) 740-1392.
BOUNDARY LINE ADJUSTMENT
S:\COMMUNITY DEVELOPMENT\Applications & Forms\Currently on Website
Updated January 2018
Lewis County
Community Development
Type I applications involve decisions that do not require public notice and are decided by the administrator.
The following are required to be submitted for the Boundary Line Adjustment application to begin the review
process:
STAFF APPLICANT
Completed Survey Map drawn by a Washington State
Professional Land Surveyor (PLS)-With all the requirements on the
Lewis County Community Development ‘Map Requirements-Boundary Line
Adjustment’ Handout.
Completed ‘General Information’ application
Completed ‘Boundary Line Adjustment’ application
Original legal descriptions
Adjusted legal descriptions (prepared and certified by a land surveyor)
Documentation of a legal lot of record and meet the criteria in the Lewis
County Code Chapter 16.02.050
Lot Closure Notes for each adjusted lot configuration prepared by a
Washington State PLS
Application Fee
Is there an existing well(s) on the subject site: □ Yes □ No
Is there an existing septic system on the subject site: □ Yes □ No
If yes, Environmental Health Review Fee(s) are/is required at the time of submittal
Other: _______________________________________________
Any appeals will be heard by the Lewis County Hearing Examiner per the Lewis County Code Chapter 17.05.
For Official Use Only:
Date of Completed Application: ____________________ Application
Number: __________________________
Associated Permits: ______________________________ Permit Technician: __________________________
S:\COMMUNITY DEVELOPMENT\Applications & Forms\Currently on Website
Updated January 2018
Lewis County Community Development
BOUNDARY LINE ADJUSTMENT
Survey Map Requirements
Survey Maps: Five (5) copies of a map (18” by 24” Survey) meeting all the requirements for recording by the Lewis County Auditor
to the Administrator for review with, permanent black ink, and meeting the requirements of WAC 332-130-050 and RCW 58.58.09.
STAFF APPLICANT
A label identifying the map as a “Boundary Line Adjustment”
Reference the Boundary Line Application number on the face of the map
Original legal description and adjusted legal description on the face of the map
A vicinity map, the date, and north arrow
The names and addresses of the Grantor and Grantee
The boundary lines of the parcels prior to the BLA, clearly labeled (clear label as “old line” and use
dash line type)
The boundary lines of the parcels as adjusted by the BLA, clearly labeled with distance and bearing
(use bold line type)
The acreage of the parcels before and the acreage proposed following the BLA
Identify by sequential letter each lot within the Boundary Line Adjustment
The location, width, and names of all existing streets, ingress, egress, or easements within or
adjacent to the proposal, including, but not limited to, existing or proposed easements to provide
access to each lot, and indication as to whether they be public or private and the Auditor's File Number
The location of existing structures, fences, buildings and improvements
The location of natural features such as water bodies, rivers, steep slopes and wetlands
The location of all wells and septic systems including reserve areas, water lines, and other utility lines
Survey maps shall also contain
i. Name of professional land surveyor (PLS), stamp and signature of PLS;
ii. Any monuments and markers of record, a minimum of two corners must be set or found,
iii. A signature block for the approval and signature of the Administrator, and the date
signed
iv. Signature block for Treasurer with a statement that property taxes for the parcel within
this map have been paid through the year of recording; and
v. Signature block for Auditor
The following statement and signature block with a notary block for owner’s signatures:
This Boundary Line Adjustment is requested and approved by the undersigned, who certify that they
are the owners of the respective parcel identified in this Boundary Line Adjustment
__________________________ Dated: __________________
Owner-Printed Name
__________________________ Dated: ___________________
Owner-Printed Name
The following notice shall appear on the face of the BLA map:
This Boundary Line Adjustment shall not create any additional building lot, tract, parcel, building site, or
division nor create any building lot, tract, parcel, building site, or division, which contains insufficient
area and dimension to meet minimum requirements for building site, the portion being transferred shall be
combine with the Grantee’s parcel. All newly configured lots
must comply with applicable standards for
sewage disposal and provisions contained in Title 8 LCC and Title 70 RCW.
2025 NE Kresky Ave, Chehalis, WA 98532 ● Phone: (360) 740-1146 ● Fax: (360) 740-1245
S:\COMMUNITY DEVELOPMENT\Applications & Forms\Currently on Website
Updated January 2018
Lewis County Community Development
Signature: __________________________________________ Date: ____________________
Check one: Owner
Authorized Agent
GENERAL INFORMATION
Property Owner Information:
Name: _________________________________________________________________________________________
Mailing Address: _________________________________________________________________________________
Phone Number: __________________________ E-mail: ________________________________________________
Tax Parcel Number (s): __________________________________ Zoning: ___________ Acreage: ______________
Site Address: ___________________________________________________________________________________
_______ Quarter Section, Section _______, Township _______ North, Range _______ East/West (Circle One)
Applicant (if different from owner):
Name: __________________________________________________________________________________________
Mailing Address: __________________________________________________________________________________
Phone Number: __________________________ E-mail: _________________________________________________
Tax Parcel Number (s): __________________________________ Zoning: ___________ Acreage: _______________
Site Address: ____________________________________________________________________________________
_______ Quarter Section, Section _______, Township _______ North, Range _______ East/West (Circle One)
Surveyor or Other Contractor Information (Attach additional sheets if necessary):
Name: __________________________________________________________________________________________
Mailing Address: __________________________________________________________________________________
Phone Number: __________________________ E-mail: _________________________________________________
Acknowledgment
I understand that County regulations require owner permission for County personnel to enter private property to conduct
permit processing, review, and inspections. I also understand that my failure to grant permission to enter may result in
denial or withdrawal of a permit or approval. By my signature below, permission is granted for representatives of the
Community Development, Environmental Health, and Public Works Department to enter and remain on and about the property
for the sole purpose of processing such permits and performing required inspections or reviews.
Prior notification of the date of inspections will take place is: Required Not Required
(________) ___________________ (Must provide phone number where applicant/representative can be reached)
I/We certify that all plans, specifications and other submissions required in support of this application conform to the
requirements of all federal, state, and local codes and applicable laws and ordinances; and I certify that I am either the current
legal owner of this property or their authorized representative. With this document, I take full responsibility for the lawful action
that this document allows.
I certify that I have read and understand the limitations and conditions of Lewis County Code and agree to comply with all
conditions of approval. I understand that any permits issued by Lewis County, consistent with the attached site plan, are valid
ONLY if construction is in according to this plan and all other conditions of the permit are followed. By my signature below, I
affirm that all the information and documents provided with this application are true and accurate to the best of my knowledge.
S:\COMMUNITY DEVELOPMENT\Applications & Forms\Currently on Website
Updated January 2018
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Lewis County Community Development
BOUNDARY LINE ADJUSTMENT
Parcel Number(s): ___________________________ BLA Number: _______ Zoning: _________
□ Other; If other, please explain:________________
□ None
Sewage Disposal:
Existing Method:
□ Septic □ Public Sewer □ Other; If other, please explain: ___________ □ None
Site Characteristics:
How many lots are involved with the proposed Boundary Line Adjustment: _______________________________
What is the existing size of each lot: _________________________________________________________________
What is the proposed size of each lot: ________________________________________________________________
Are there any easements (access, utility, etc.) on the subject property that would be affected by the proposal?
□ Yes □ No; If yes, explain and identify them on the map
__________________________________________________________________________________________________
__________________________________________________________________________________________________
Where any of the lots created by a subdivision: □ Yes □ No;
If Yes, what is the Auditor’s File Number (AFN): ________________
If yes, a subdivision/plat amendment may be required
Signatures of Grantor(s) and Grantee(s)
Signature: _____________________________________________Date: ___________________ □ Grantor □ Grantee
Signature: _____________________________________________Date: ___________________ □ Grantor □ Grantee
Signature: _____________________________________________Date: ___________________ □ Grantor □ Grantee
Signature: _____________________________________________Date: ___________________ □ Grantor □ Grantee
2025 NE Kresky Ave, Chehalis, WA 98532 ● Phone: (360) 740-1146 ● Fax: (360) 740-1245
Private Well Shared Well Public Water
□ Group B
□ None
□ Group A
□ Other; If other, please explain: ________________
Proposed Source:
Proposed Method:
□ Septic □ Public Sewer □ Other; If other, please explain: ___________ □ None
Existing Source: Private Well □ Shared Well Public Water Group B Group A
Water Supply:
S:\COMMUNITY DEVELOPMENT\Applications & Forms\Currently on Website
Updated January 2018
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$375 BLA Application Fee $200 Land Development Review (Lewis County)

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Completed 21 January 2021

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