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Lot Line Alteration Application Checklist - continued
Declaration
Know all men by these presents that we, being all of the owner(s) having an ownership interest in the land
herein described do hereby make a lot line alteration therefore pursuant to RCW 58.17.040 and declare this lot
line alteration to be the graphic representation of the same, and that said lot line alteration to be the graphic
representation of the same, and that said lot line alteration is made with the free consent and in accordance
with the desire of all of the owners.
Other
An information sheet showing compliance with all applicable zoning regulations. To determine the applicable
zoning regulations, a City planner should be consulted. Required items usually include lot coverage, setback,
and floor area ratio information.
If on septic, provide a copy of the approved King County Application for Health Department Review of Boundary
Line Adjustment for the subject property.
A title company certificate which is not more than 30 calendar days old containing:
A legal description of the total parcel(s) sought to be adjusted; and
A list of those individuals, corporations, or other entities holding ownership interest in the parcel(s); and
Any easements or restrictions affecting property(ies) with a description, purpose and reference by auditor's file
number and/or recording number; and
Any encumbrances on the property; and
Any delinquent taxes or assessments on the property.
The application form must be signed by all property owners of the subject properties. The Alteration of Lot Line
form (document to be recorded with King County) must be signed by the vested owners of the subject
properties as set forth on the title report provided with the application. Others with a financial interest in the
properties as disclosed on the title report will be required to sign the Alteration of Lot Line if the alteration will
result in a reduction in value of their security, or as otherwise required by the Planning Director.
King County requires that a deed be recorded if the properties being adjusted are not owned by the same
person. King County also requires that the property taxes are current.
Alternate Formats: Persons with disabilities may request materials in alternative formats. Persons with hearing
impairments may access the Washington State Telecommunications Relay Service at 711.
Title VI: Kirkland's policy is to fully comply with Title VI of the Civil Rights Act by prohibiting discrimination against any
person on the basis of race, color, national origin or sex in the provision of benefits and services resulting from its
programs and activities. Any person who believes his/her Title VI protection has been violated, may file a complaint
with the City.
To request an alternate format, file a complaint or for questions about Kirkland's Title VI Program, contact the Title VI
Coordinator at 425-587-3011 or titlevicoordinator@kirklandwa.gov.
