File No.:
Date:
Property Line Adjustment Application
Dallas Planning Department
Development Code Type 1 Review
A PROPERTY LINE ADJUSTMENT is the modification of lot boundaries where no additional parcels or lots are
created, or when boundary lines are removed to consolidate multiple lots into a single lot. Requirements for
property line adjustments may be found in the Dallas Development Code (DDC) Section 4.3.140. To request a
property line adjustment, please complete this application form, include necessary attachments (listed on
page 3 of this form) and submit it along with required fees to the Dallas Planning Department, Dallas City Hall,
Second Floor, 187 SE Court Street, Dallas, Oregon 97338.
Section 1 – Applicant Information
Name(s): ___________________________________________________________________________________________________
Mailing Address: ____________________________________________________________________________________________
Email: ______________________________ Phone Number: ___________________ Cell Number: ______________________
Section 2 – Property Owner Information
Parcel A, Address/Lot No.____________________________________________________________________________________
Property Owner(s): ____________________________________________________________________________________
Mailing Address: ______________________________________________________________________________________
Email: ___________________________ Phone Number: _________________ Cell Number: ____________________
Parcel B, Address/Lot No.____________________________________________________________________________________
Property Owner(s): ____________________________________________________________________________________
Mailing Address: ______________________________________________________________________________________
Email: ___________________________ Phone Number: _________________ Cell Number: ____________________
Section 3 – Project Description
Please describe your project: _______________________________________________________________________________
_____________________________________________________________________________________________________________
Site Address: _____________________________________________________ Total Land Area: __________________________
Assessor Map/Taxlot No. __________________________________________ Zoning: __________________________________
Present Use of Property: _____________________________________________________________________________________
Size of Parcels Before and After Adjustment:
Size of Parcel BEFORE Adjustment Size of Parcel AFTER Adjustment
Parcel A (assigned in Section 2)
Parcel B (assigned in Section 2)
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