Lot Line Adjustment Application 2015

Lot Line Adjustment Application
Surveying Services Division

1195 Third Street, Suite 101
Napa, CA 94559-3082
(707) 253-4351
Print Form
Property Owner Information:
All parties as listed on the vesting deeds must sign and date Page 2 of this form, see Napa County Code Section
17.46.030(4). See attached signature requirements for Corps, LLCs, Partnerships, etc.
Property Owners may provide consent for agents to act on their behalf, see Page 3.
Assessor Parcel Number
Property Owner(s) Name
Mailing Address
Mailing Address
Mailing Address
Assessor Parcel Numbers
Mailing Address
Additional Information:
Surveyor/Engineer: Surveyor Contact Info:
Title Company: Title Company Order #:
Flood Zone/Panel #: Road Name:
Fee: $2,444.87 - due at time of submittal

Please note should your application require review by County Counsel, an initial Deposit
of $250.00 must be submitted. Applicants will be notified immediately should their application require said review.
The following items are required for submittal of a Lot Line Adjustment Application:
* Three copies of a tentative map accurately drawn to scale on an 8.5" x11" or 11" x17" paper (see sample map for detail required)
* Copies of maps, Certificates(s) of Compliance, and /or Deeds which establish each parcel as a legally created parcel.
* Copies of the most current Vesting deeds as proof of ownership for each parcel.
* One copy of a Preliminary Title Report issued within 60 days of submittal for each parcel
* Signed Indemnification and Consent Agreement- EACH OWNER MUST SIGN.
* A Notification Packet of all property owners within 300 feet of the subject parcels including adhesive address labels.
* Copies of any Williamson Act Contracts affecting the existing parcels (if applicable)
INDEMNIFICATION and CONSENT AGREEMENT
Pursuant to Chapter 1.30 of the Napa County Code and state law, as part of the application for a discretionary
or ministerial land use approval for the application identified below, Applicant agrees to defend, indemnify,
release and hold harmless Napa County, its agents, officers, attorneys, employees, departments, boards and
commissions (hereafter collectively "County") from any claim, action or proceeding (hereafter collectively
"proceeding") brought against County, the purpose of which is to attack, set aside, void or annul the
application approval of the County, or an action relating to this application required by any such proceeding to
be taken to comply with the California Environmental Quality Act by County, or both. This indemnification shall
include, but not be limited to damages awarded against the County, if any, and cost of suit, attorneys' fees,
and other liabilities and expenses incurred in connection with such proceeding that relate to the application
approval or an action related to this project taken to comply with CEQA whether incurred by the Applicant, the
County, and/or the parties initiating or bringing such proceeding. Applicant further agrees to indemnify the
County for all of County's costs, attorneys' fees, and damages, which the County incurs in enforcing this
indemnification agreement.
Applicant further agrees, as a condition of application approval, to defend, indemnify and hold harmless the
County for all costs incurred in additional investigation of or study of, or for supplementing, redrafting, revising,
or amending any document (such as an EIR, negative declaration, specific plan, or general plan amendment)
if made necessary by said proceeding and if the Applicant desires to pursue securing approvals which are
conditioned on the approval of such documents.
In the event any such proceeding is brought, County shall promptly notify the Applicant of the proceeding, and
County shall cooperate fully in the defense. If County fails to promptly notify the Applicant of the proceeding,
or if County fails to cooperate fully in the defense, the Applicant shall not thereafter be responsible to defend,
indemnify, or hold harmless the County. The County shall retain the right to participate in the defense of the
proceeding if it bears its own attorneys' fees and costs, and defends the action in good faith. The Applicant
shall not be required to pay or perform any settlement unless the settlement is approved by the Applicant.
I/ We the property owner(s) do hereby certify by signature below that all information contained in the attached
Lot Line Adjustment Application is correct to the best of my/our knowledge under penalty of perjury and that I/
We hereby consent to the processing of the adjustment of property boundaries as shown on the application
map.
*If ownership changes, new owner must sign a copy of this form and return to the County asap or application will be deemed withdrawn.
Property Owner(s) Signature:
Printed Name: Date:
Printed Name: Date:
Printed Name: Date:
Printed Name: Date:
Printed Name: Date:
Page 2
Owner Consent Statement For Agent(s)* to act on their behalf
and/or additional Agents to receive copies of Correspondence
I, We hereby grant permission to to act on
my/our behalf regarding this application.

Agent Name:
Address
Email Address:
Property Owner Signature:
Signature Requirements For Corporations, Partnerships, Associations:
Corporations (whether for- or non-profit)

The chairman of the Board OR president or vice president AND either the secretary, assistant secretary, chief
financial officer, or treasurer. Alternately, the application may be signed by any person who is authorized to
do so by a corporate resolution ( a copy of the resolution should be provided)
General Partnership
Any partner of the general partnership
Limited Partnership
A general partner of the limited partnership
Association
The president or general manger of the association
* Agent is anyone the Vested Property Owner elects to represent them and receive copies of Lot Line Adjustment
Correspondence; as example, legal counsel, real estate professionals, other family members, etc.
Page 3

Lot Line Adjustment Application 2015

Uploaded by

Copyright:

Available Formats

Lot Line Adjustment Application 2015

Uploaded by

Document Information

Original Description:

Copyright

Available Formats

Share this document

Share or Embed Document

Sharing Options

Did you find this document useful?

Is this content inappropriate?

Copyright:

Available Formats

Lot Line Adjustment Application 2015

Uploaded by

Copyright:

Available Formats

Lot Line Adjustment Application

Surveying Services Division

Assessor Parcel Number

Property Owner(s) Name

Assessor Parcel Number

Property Owner(s) Name

Assessor Parcel Number

Property Owner(s) Name

Assessor Parcel Numbers

Property Owner(s) Name

Surveyor/Engineer: Surveyor Contact Info:

Title Company: Title Company Order #:

Flood Zone/Panel #: Road Name:

Fee: $2,444.87 - due at time of submittal

Printed Name: Date:

Property Owner(s) Signature:

Printed Name: Date:

Property Owner(s) Signature:

Printed Name: Date:

Property Owner(s) Signature:

Printed Name: Date:

Property Owner(s) Signature:

Printed Name: Date:

I, We hereby grant permission to to act on

my/our behalf regarding this application.

Property Owner Signature:

Signature Requirements For Corporations, Partnerships, Associations:

Corporations (whether for- or non-profit)

You might also like