The Tulalip Tribes
Community Development Department
Boundary Line Adjustment Application Form
Applicant / Owner Name:
Mailing Address:
Street
City
State / Zip Code
Phone:
Fax:
Parcel Status:
Fee
Trust
Parcel Number(s) / Parcel ID:
Applicant Signature
Date:
For Community Development Staff Use Only
Application Fee $125.00
Paid: Yes / No
Date Paid:
/ /
Zoning Designation:
Allowable Density:
Consistent with Comprehensive Land Use Plan?
Yes / No
Consistent with Zoning Ordinance?
Yes / No
Submitted to Permit Review Committee?
Yes / No
Date:
/ /
Variance / Conditional Use Required?
Yes / No
Recommended for Approval
Yes / No
Date:
/ /
Community Development Manager
Approved: Yes / No
Date:
/ /
Executive Director
click to sign
signature
click to edit