801 228
th
Ave NE
Sammamish, WA 98019
425-295-0500 | www.sammamish.us
2020-01-BLA Page 1 of 4
BOUNDARY LINE ADJUSTMENT
APPLICATION
ABOUT THE BOUNDARY LINE ADJUSTMENT (BLA)
Code Reference
Boundary Line Adjustments
Chapter 19A.24 SMC
Resources
King County iMap
Sammamish Property Tool
Questions?
Submit Project Guidance
Visit the Permit Center
City of Sammamish
801 228th Ave SE
Sammamish, WA 98075
www.sammamish.us
A boundary line adjustment (BLA) adjusts boundary lines between
adjoining platted and/or unplatted lots. A BLA may not be used to make
an already non-buildable lot or tract buildable.
A BLA must allow for sufficient area and dimension to meet minimum
requirements for width and area for a building site for any lots, tracts,
parcels, sites, or divisions created. The City cannot approve a BLA that
results in, or continues, a legal non-conforming situation.
Additionally, BLAs cannot establish an ordinary high-water mark along
shoreline properties.
APPLICATION REVIEW PROCESS
A BLA is a Type 1 decision made by the Director.
ACTIONS REQUIRED AFTER APPROVAL
Once the City has approved the application, deeds transferring property
ownership, together with a copy of the approved boundary line
adjustment, must be recorded with King County within one year.
FEES
Applicants are responsible for providing an initial review deposit (as well as
additional deposits as needed) to cover all application review costs.
FEES APPLICABLE TO THIS PROJECT
Counter Service Intake, Type 1
Preliminary Review Deposit
Environmental Consultants Services (if applicable)
Environmental Checklist Review (if applicable)
See current fee schedule
2020-01-BLA Page 2 of 4
BOUNDARY LINE ADJUSTMENT APPLICATION
OWNER INFORMATION
Owner is organized as an LLC*
Name:
Company:
(if applicable)
Address:
Phone:
E-Mail:
APPLICANT/REPRESENTATIVE INFORMATION
Applicant is organized as an LLC*
Company:
(if applicable)
E-Mail:
*O2020-513 requires owners/applicants organized as a single-member or multiple-member LLC to provide the
names and addresses of all members, including all individuals who hold transferable interests in the applicant
or its members. Please provide this information using the supplemental form on www.MyBuildingPermit.com.
PROPERTY INFORMATION
Property Address:
Parcel Number(s):
Total Lot Area(s):
Total Critical Areas on Property:
(Square Feet)
(Square Feet)
Please complete the below for any critical areas on property:
Type
Total Area
Type
Total Area
(Square Feet)
(Square Feet)
Frequently flooded area
Lake
Landslide area
Critical aquifer recharge area
Seismic hazard area
Wetland
Erosion hazard area
Stream
Erosion hazard near sensitive
water bodies overlay
Fish & wildlife habitat
conservation area
Do you control the property where the work is being proposed (lease, easement, or fee-ownership)?
Yes
No
Property Information continued on next page
2020-01-BLA Page 3 of 4
BOUNDARY LINE ADJUSTMENT APPLICATION
PROPERTY INFORMATION CONTINUED
Is the proposed project located on a parcel that abuts the King County Trail Corridor?
Yes
No
Does the proposal require the use of or crossing the King County East Lake Sammamish Regional Trail for
access to the project site?
Yes
No
SUBMITTAL CHECKLIST
A PDF of each document is required at time of submittal. Please label files as numbered and listed below:
(For example: 02 Project Narrative)
01. Signed Application Form
02. Acceptance of Financial Responsibility - Affidavit of Applicant Status
03. Historic Resources Affidavit
04. Water Availability Certificate
05. Sewer Availability Certificate
06. Preliminary Septic Approval (if applicable)
07. Title Report (<30 days old)
Must be less than 30 days old
Must be for the parcel(s) related to this application
08. Quit Claim Deed (if applicable)
09. Legal Description
Must be for parcel(s) related to this application
Must be a title verified description by a Washington State licensed surveyor
10. SEPA Checklist (if applicable)
11. Critical Area Affidavit
12. Boundary Line Adjustment Map showing the following:
All property lines including existing and proposed
Existing lines to be adjusted (must be dashed and labeled “old line A, B, ...”)
Proposed lines (must be solid and labeled “new line A, B, ...”)
Bearing and distances of all existing and proposed property lines
Adjacent street names
Existing and proposed easements/restrictions including the recording number
Boundary Line Adjustment Map continued on next page
Submittal Checklist continued on next page
2020-01-BLA Page 4 of 4
BOUNDARY LINE ADJUSTMENT APPLICATION
1
4
3
2
SUBMITTAL CHECKLIST CONTINUED
12. Boundary Line Adjustment Map (Continued)
Existing structures and distances to property lines
Existing wells, septic systems (including tanks), drain fields, and reserve areas and distances to
property lines
Parcels (identify as Lot A, Lot B, etc. and match to legal descriptions)
Lot area and dimensions of all existing and proposed lots
Existing and proposed legal descriptions for each lot, including area of conveyance
Text designating the proposed lot line(s) and corresponding corrected legal description as the
legal property line(s)
The location of all critical areas, per Chapter 21A.50 SMC
In
clude signature blocks for city and county officials and property owners
13. Calculations, Lot Closures, Lot Summary
14. Storm Drainage Analysis (Technical Information Report) (if applicable)
15. PW Standards Deviation (if proposed)
16. Plan Set
CERTIFICATIONS & SIGNATURES
I have read this application in its entirety and certify that all information submitted, including any
supplemental information, is true and complete to the best of my knowledge. I acknowledge that willful
misrepresentation of information will terminate this permit application. I understand that my submittal will be
reviewed for completeness and, if found to be complete, will be processed pursuant to Chapter 20.05 SMC.
Owner Signature:
Date:
Applicant/Representative Signature (if applicable):
Date:
ONLINE SUBMITTAL INSTRUCTIONS
Create an account on MyBuildingPermit.com.
Select “Apply For Permit” and then select “Sammamish” as the jurisdiction.
Select the following:
Application Type
Land Use
Project Type
Any Project Type
Activity Type
Land Division
Scope of Work
Boundary Line Adjustment
C
omplete & save this form before uploading it in the “File Upload” section along with the required
submittal documents.
click to sign
signature
click to edit
click to sign
signature
click to edit