Fillable Town of Allenstown, NH 16 School Street Allenstown, (Town of Allenstown)

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Town of Allenstown, NH 16 School Street Allenstown, (Town of Allenstown)

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BROWSE TOWN OF ALLENSTOWN (NH) FORMS

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Revised February, 2012
1
Application Number:_____
Amount of Fee Paid: _____
Date Filed: _____
Town of Allenstown, NH
16 School Street
Allenstown, NH 03275
485-4276, Fax 485-8669
Planning Board
Voluntary Lot Merger Form
As provided for in RSA 674:39-a, the undersigned applicant request that the Town of
Allenstown, New Hampshire, hereby merge the following parcels of land for the purposes of
being assessed and treated for regulatory purposes as a single tract or parcel of land:
Name of record owner(s) (must be identical for all lots
consolidated):__________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
Mailing address of
owner(s):______________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
The following existing parcels are to be consolidated and merged into a single parcel:
Deed Reference
Map# Lot # Street Address Book Page
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
(Attach additional sheets if necessary)
It is a condition of this application that each of the above parcels shall (i) not be subject to
separate liens or mortgages, or (ii) any such liens apply equally to all parcels merged. In
Revised February, 2012
2
addition, all real estate taxes of all parcels shall be current. By signing below, legal counsel for
the owner(s) certifies as to the facts of either (i) or (ii) above.
Dated:______________________ ___________________________________
Legal Counsel to Applicant
By signing below, the applicant agrees that (i) this request is subject to review by the Planning
Board to assure such merger does not create a violation of the current zoning ordinance or
subdivision regulations (or, in the case of an existing non-conforming lot, increased
nonconformity) , (ii) that upon approval, a copy of this agreement shall be recorded in the
Merrimack County Registry of Deeds, and (iii) subsequent to the approval of this agreement, the
owner(s) shall not separately convey or encumber any of the previously existing parcels. Any
attempt to separately convey any parcel of part of a parcel submitted hereunder shall require
subdivision approval from the Allenstown Planning Board once parcels have been merged.
Dated this____________day of____________________________ , 20____ .
____________________________________________________________________________
Owner’s Signature Owner’s Signature
Type Name(s):
_____________________________________________________________________________
(For Municipal Use Only
By the signature below, this request has been reviewed by the Allenstown Planning Board and
the lot merger shall not result in a violation of the current zoning ordinance or subdivision
regulations (or, in the case of an existing non-conforming lot, increased nonconformity).
Date:_________________________________________________________________________
Planning Board Chairperson
By the signature below, this request has been approved by the Allenstown Tax Assessor, who
assigned the following tax map and lot number to the resulting parcel: Tax Map#__________
Lot #:____________.
Date:_______________________________________________________________________
Tax Assessor
One original copy of this document is to be retained in the Tax Assessor’s files. One Original
shall be forwarded to the Merrimack County Registry of Deeds for recording upon approval. A
recorded copy to be returned to the Owner(s) and one copy to be placed in Planning Board
records.
*ALL APPLICATIONS ARE TO BE SUBMITTED ELECTRONICALLY TO:
ADMIN@ALLENSTOWNNH.GOV
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Completed 9 February 2021

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