OFFICE USE ONLY
Date Received:
File No.: LLA-
Mailing Radius: N/A
Fee: $400.00
City of Kingsburg
PLANNING APPLICATION
City Hall, 1401 Draper Street, Kingsburg, CA 93631
(559-897-5328 (559)897-6558) Fax
Postal service or e-mail
Please circle one
Applicant
e-mail address
Applicants Address
City State Zip Day Phone
Representative
e-mail address
Representative’s Address
City State Zip Day Phone
Property Owner (if other than applicant)
e-mail address ___________________________________________________________
Owners Address
City State Zip Day Phone
Please indicate if correspondence is to be sent by to:
Applicant Representative Property Owner
Description of Request (attach additional sheet if necessary)
Project Location Current Designation
Please check all for which you
are applying (Separate forms
are required for each item:
Administrative Approval
Conditional Use Permit
Conceptual Presentation
Environmental Assessment
General Plan Amendment
Lot Line Adjustment
Parcel Map
Parcel Map Exemption
Planned Unit Development
Rezone/Prezone
Sign Review
Site Plan Review
Tract Map
Variance
Zone Change
APPLICANT/REPRESENTATIVE: I have reviewed this completed application and the attached material. The information provided is
accurate. I understand the city might not approve this request, or might set conditions of approval.
Signed Date
PROPERTY OWNER/AUTHORIZED AGENT: I have read this completed application and consent to its filing.
(Notarized letter from owner/agent may be required)
Signed Date
OFFICE USE ONLY
ROUTE TO: RETURN TO:
Planning Director Building Official Planning Department Secretary
City Engineer SKF Phone (559)897-5328
Public Works Fire Department Fax (559)897-6558
Police Department
Distribution Date __________________ Received by _________________________ Comments Yes No
Attached
N.R.U.Q. FORM ATTACHED YES
NO
CITY OF KINGSBURG
PLANNING DEPARTMENT
1401 DRAPER STREET
APPLICATION FOR LOT LINE ADJUSTMENT
The following information must be provided in your submittal, and the attached
application must be filled out completely. No public hearing is required for this
application, but must be approved by the Planning Commission.
Along with the attached application please include 20 copies of a neatly drawn, detailed
map, 11 x 17 size is adequate, showing the proposed transaction. This map must include
the following information:
1. The boundary lines and dimensions of the original parcels.
2. The existing and proposed legal description of the parcels.
3. The proposed division lines, dimensions and area of each parcel created.
4. The identification of each parcel with number or letter.
5. All existing buildings, structures, wells, septic tanks and leaching fields within
100 feet of all existing or proposed boundary lines with their major exterior
dimensions and distances from boundary lines.
6. The location and widths of any abutting public road right-of-way or private road
easements.
7. The locations of any electric, telephone, cable television or gas facilities.
8. The north point and scale.
9. A designation of which parcel each property owner will receive.
10. A copy of a recorded deed showing ownership of parcels to be altered.
11. The attached application which is due four weeks prior to the Planning
Commission meeting.
An example of the information required is included in this application packet.
CITY OF KINGSBURG
PLANNING AND DEVELOPMENT DEPARTMENT
1401 Draper Street Kingsburg, CA 93631
PHONE 559-897-5328 FAX 559-897-6558
RECORDING REQUESTED BY and
AFTER RECORDING, RETURN TO:
City of Kingsburg
Planning and Development Department
1401 Draper Street
Kingsburg, CA 93631
NOTICE OF LOT LINE ADJUSTMENT
Pursuant to Section 66412.d of the Government Code (Subdivision Map Act) of the State
of California, the City of Kingsburg Planning and Development Department hereby
certifies that a lot line adjustment was approved on March 8, 2007 for the properties
described in Exhibit “A” which is attached and incorporated herein and effected by:
LOT LINE ADJUSTMENT APPLICATION NUMBER:
PARCEL(S):
PROPERTY OWNER(S)
This Notice of Lot Line Adjustment is for notification purposes only and does not effect
or accomplish the adjustment of the property line(s) described in Exhibit “A”. The
Planning Department does not guarantee that the properties described in Exhibit “A”
match the above referenced Lot Line Adjustment of Record of Survey. Executed by the
City of Kingsburg on this 13th day of March 2007.
Terrence Schmal
Planning and Development Director
City of Kingsburg
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