CITY OF FAYETTEVILLE, ARKANSAS
PROPERTY LINE ADJUSTMENT
Please fill out the Energov fields completely, supplying all necessary information and documentation to support your request.
Your application will not be processed until this information is furnished.
Application Checklist
(1)
Payment in full of applicable fees for processing the application ($200.00).
(2)
Correspondence in the form of a letter to Planning Staff describing the scope, nature and intent of the
proposal.
(3)
The survey of the property showing all required information for a Property Line Adjustment listed on the
Plat Requirements checklist in Section 166.02 of the Fayetteville Unified Development Code. These
requirements are listed on the Plat Requirements page in this application. Clearly label all original and
proposed property lines.
(4)
If located within the City’s Planning Area and this property line adjustment results in a tract(s) of less
than 1.5 acres, approval from the Arkansas Department of Health is required allowing for an individual
sewage disposal system prior to the property line adjustment application.
(5)
If located within the City’s Planning Area and this property line adjustment results in a tract(s) of less
than 1.0 acre, approval from the Washington County Planning Department is required prior to the City
accepting this application.
Note:
In order for the Washington County Assessor’s Office to officially recognize this
property line adjustment on the deed for the property, a Correction Deed or Quitclaim
Deed must be filed along with the Property Line Adjustment survey. Please submit this
deed with the final, revised copy of the Property Line Adjustment survey plat for City of
Fayetteville “Approval for Recording”.
Consent of Owner Form
PROPERTY OWNER(S) / AUTHORIZED AGENT: By signing below, I/we certify under penalty of perjury
that I am/we are the owner(s) of the property that is the subject of this application and that I/we have
authorized this application and consent to its filing.
PLEASE NOTE:
Property Owners: Attach additional info/documentation if necessary.
Authorized Agents: If signing on behalf of a Property Owner, a letter from each Property Owner must be
provided indicating that the agent is authorized to act on their behalf.
____________________________________________________________________________________
Associated Project (required field)
Property Owner 1:
x ________________________________________
Name of person signing [printed] Entity/Company signator legally owns or represents
__________________________________________ ________________________________________
Contact Email Contact Phone
____________________________________________________________________________________
Mailing Address
________________________________________________________________ ________________
Property Owner Signature Date
Property Owner 2: (if needed)
x ________________________________________
Name of person signing [printed] Entity/Company signator legally owns or represents
__________________________________________ ________________________________________
Contact Email Contact Phone
____________________________________________________________________________________
Mailing Address
________________________________________________________________ ________________
Property Owner Signature Date
Property Owner 3: (if needed)
x ________________________________________
Name of person signing [printed] Entity/Company signator legally owns or represents
__________________________________________ ________________________________________
Contact Email Contact Phone
____________________________________________________________________________________
Mailing Address
________________________________________________________________ ________________
Property Owner Signature Date
Property Owner 4: (if needed)
x ________________________________________
Name of person signing [printed] Entity/Company signator legally owns or represents
__________________________________________ ________________________________________
Contact Email Contact Phone
____________________________________________________________________________________
Mailing Address
________________________________________________________________ ________________
Property Owner Signature Date
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