Boundary Line Adjustment/ Page 1 of 2 Revised 9/24/14
Lot Line Elimination Application
City of DuPont
Planning Division
Boundary Line Adjustment
Lot Line Elimination Application
Phone: (253) 912-5393
Fax: (253) 964-1455
1700 Civic Drive
DuPont, WA 98327
www.dupontwa.gov
City File Number: ______________________________
All information listed in this application, or by applicable ordinance, must be submitted in order
for the application to be determined complete. Only complete applications will be processed for
conformance with adopted policies and requirements.
General Information:
Applicant name:
Address:
Phone number:
Fax number:
Agent/Contact:
Address:
Phone number:
Fax number:
Description of proposal. Be specific.
Site Information:
Parcel numbers of affected lots:
Area of each affected lot before and after adjustment:
Boundary Line Adjustment/ Page 2 of 2 Revised 9/24/14
Lot Line Elimination Application
Required Plans, Information and Fee:
Quantity of each item or drawing is indicated in parenthesis. Plans shall be no larger than
24 by 36 inch sheet size.
Drawings showing all information required by DMC 24.7 for BLA or DMC 24.08 for LLE
application (eight copies).
Title Report less than 30 days old (two copies).
Completed Agent Affidavit.
Filing fee.
Note:
Fill out and return this application with all material listed in the Required Plans, Information
and Fee section. All plans must be folded to 8½ by 11 inch size. You will be contacted by
the City within 28 days of formal application submittal regarding whether the application is
complete. Site work may not start until all necessary permits have been obtained.
(Applicant Signature) (Date) (Print name)
click to sign
signature
click to edit