BOUNDARY LINE ADJUSTMENT
APPLICATION
Please review the Richmond Zoning Regulaons and provide all the informaon requested in this appli-
caon. Addional local permits and approvals may also be require. For informaon contact the Zoning
Administrave Ocer at 434-2430. Other federal, state and local permits or approvals may addionally
be required, it is the duty of the applicant to obtain all relevant and applicable approvals. To inquire
about State permits contact the State Permit Specialist at 477-2241.
Permit #
Parcel ID: _____________
Applicaon Date: ______________ Physical Address of Lot 1 & Lot 2: __________________________________________________
___________________________________________________________________________________________________________
Property Owner 1 Name:________________________________
Mailing Address: ______________________________________
____________________________________________________
____________________________________________________
Phone: ______________________________________________
Email: _______________________________________________
Size of Lot 1 Before / Aer (acres): ____________/___________
Property Owner 2 Name: ________________________________
Mailing Address: _______________________________________
____________________________________________________
____________________________________________________
Phone: ______________________________________________
Email: _______________________________________________
Size of Lot 2 Before / Aer (acres): ____________/___________
As per secon 5.8, a boundary adjustments may be made by and between only two adjoining landowners upon issuance of a Zoning
Permit by the Administrave Ocer. Prior to issuance of a Zoning Permit the following condions shall be met:
no addional lot is created aer the adjustment of the boundary lines;
only two lots may be involved in any one boundary line adjustment; and
adjusted lots must conform to all provisions of the zoning regulaons.
□ Please include a clear and accurate plan of the lots and the proposed boundary adjustment shall be submied. The plan does not
need to be a survey but must have accurate eld measurements, except if the Administrave Ocer deems such survey necessary.
□ All state permits must be approved prior to submission of applicaon, please include a copy of all state permits.
□ Boundary Adjustment Applicaon Fee— $85.00
Signatures: The undersigned hereby ceres this informaon to be complete and true.
Property Owner 1 Signature Date Property Owner 2 Signature Date
Applicaon created July 2017
TOWN CLERK’S OFFICE Received for Record: __ _______ A.D. At __o’clock _ _ minutes _ M
And Recorded in Book: page Aest:
—- DO NOT WRITE BELOW THIS LINE—OFFICE USE ONLY—DO NOT WRITE BELOW THIS LINE—OFFICE USE ONLY—DO NOT WRITE BELOW THIS LINE—OFFICE USE ONLY —-
Applicaon Complete Date: Decision: APPROVED / DENIED / WITHDRAWN Zoning Fee: _________________
Appeal Period End Date/ Permit Eecve Date: ___________________ Final Plat /Deed recorded date:__________________________
Comments: ________
Zoning Administrave Ocer signature: Date:
NOTE: Once a decision is made, this permit will be eecve aer the end of the 15-day appeal period. The applicant or an interested party
has the right to appeal this permit decision within 15-days of issuance to the Richmond Development Review Board. Upon approval the appli-
cant is responsible for posng the provided “Z” poster within view of a public right-of-way. The approval for a boundary line adjustment shall
expire180 days from the permit eecve date, unless, within that 180 day period, the nal plat for the adjustment and deeds for the transfer
of property are presented to the Zoning Administrave Ocer for recording with the Richmond Town Clerk. Aer the approved plat and
deeds are led, no expiraon of the approval shall be applicable.
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