Fillable Transfer Plat/ Land Use Application Property Owner (Camden County)

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Transfer Plat/ Land Use Application Property Owner (Camden County)

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The Transfer Plat/ Land Use Application Property Owner (Camden County) form is 2 pages long and contains:

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  • 6 check-boxes
  • 32 other fields

Country of origin: US
File type: PDF

U.S.A. forms for Camden County

BROWSE CAMDEN COUNTY (NC) FORMS

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1
Transfer Plat/
Land Use
Application
OFFICIAL USE ONLY:
UDO Number:
Date Filed:
Amount Paid:
Received By:
Zoning Dist.:
Flood Zone:
Watershed (Y/N):
Taxes Pd(Y/N):
Contact Information
Property Owner
Applicant
AGENT FOR PROPERTY OWNER
Name:
Name:
Address:
Address:
Telephone:
Telephone:
Email:
Email:
LEGAL RELATIONSHIP OF APPLICANT TO PROPERTY OWNER:
General Information
Existing Land Use of Property:
Child to Parent
Grandparent to
Grandchild
Grandchild to
Grandparent
Physical Street Address:
Location:
Parcel ID Number(s):
Total Parcel Acreage:
Select Type of Transfer Plat
Parent to C
hild
Name of Grantee:
Please initial to acknowledge: Items 1-6 SHALL be on Transfer Plat and item 7 SHALL be on deed.
1. Title Block specific as to relation between Grantor and Grantee:
2. Certification of Administrator;Streets and UDO Compliance:
3. Minimum Lot Size Statement:
4. Certificate of Survey and Accuracy:
5. Certificate of Review Officer:
6. Add the following note: Transfer Plat in accordance with Article 151.2.3.24 of the
Camden County Unified Development Ordinance.:
7. DEED RESTRICTION: Deed drawn up with the following restriction: In accordance with
Article 151.2.3.24 of the Camden County Unified Development Ordinance, property cannot be
sold for a period of five (5) years or until the child’s 18th birthday (whichever is greater) from
date of recording.:
The applicant shall respond to each of the following (Yes/No/NA):
1. Is the purpose for the subdivision solely for the conveyance of one lot to an immediate family
member?
2
2. Is this the only lot transferred to the grantee from this parent parcel?
3. Is the lot created at least one acre minimum of buildable land in area?
4. Has the lot being created been certified by Albemarle Regional Health Services (ARHS) as capable
of accommodating the wastewater?
5. Access to lot being created: If no go to next question. If yes go to #6
a. Does the lot front a street? If no go to next question. If yes go to #6
b. Does the lot have an access way of at least 45’ in width not serving two additional lots?
If no go to next question. If yes go to #6
c. Does lot have an access easement recorded prior to January 1, 2006?
d. How is the lot being accessed?
6. Does the lot created from original parent tract meet the district minimum lot size required?
7. Do you understand that Failure to record a transfer plat in the Camden County Register of Deeds is a
violati
on of the law and will interfere with the ability to obtain a building permit to build a
structure on the lot?
8. Do you understand Failure to record the transfer plat in accordance with Section 2.2.17, Expiration,
shall render the transfer plat null and void?
9. Does the subdivision comply with all the applicable standards in Section 3.8.3, Special Flood Hazard
Area Overlay (SFHA) if located in the floodplain or a floodway?
Was a
copy of
each of the following submitted with the completed application?(Yes/No/NA)
a. Copy of your Birth Certificates to show immediate family relationship:
b. Copy of Perc Test from Health Department:
c. If Grantor is grandparent (s) a copy of deed showing ownership for last 10 years.:
I, the undersigned, do certify that all of the information presented in this application is accurate to
the best of my knowledge, information, and belief. Further, I hereby authorize county officials to
enter my property during reasonable business hours f
or purposes of determining zoning
compliance. All information submitted and required as part of this application process shall
become public record.
_____________________________________ ____________________
Property Owner(s)/Applicant* Date
*Note: Forms must be signed by the owner(s) of record, contract purchaser(s), or other person(s)
having a recognized property interest. If there are multiple property owners/applicants, a signature
is required for each.
Rev. 10/1/2020
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Transfer Plat Land Use Application Property Owner (Camden County)

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Completed 25 January 2021

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