Lot Line Adjustment (Within Subdivision)

Personal Information

Date / Time
Full Name *
Phone Number *
Address *
City *
State *
Zip Code *

Property Information

Parcel Number
Address of Site *
Subdivision Name *
Application is hereby made to Harrisville City to adjust lot lines between the following lots: *
Please upload a digital copy of the plat map

Signatures from surrounding properties affected by the lot line adjustment

Owner/Petitioner
Owner/Petitioner
Owner/Petitioner
Owner/Petitioner

Signature from Applicant applying for lot line adjustment

Signature

Payment Information

Confirmation Email Address
Enter the name on the credit card.
Credit Card Number
Expiration Month
Expiration Year
Security Code / CVV
Billing Street Address
Billing City
Billing State
Billing Zip Code