What does the lot line adjustment or merger supplement ask for?

It asks for the reason for the adjustment or merger, information about up to four parcels, and ownership consent. It also explains when to attach a Power of Attorney copy or separate owner information.

Who completes this supplemental information?

Property owners applying for a lot line adjustment or lot merger provide the parcel information and certify ownership or lawful Power of Attorney and consent.

Do I need a notary for the lot line adjustment supplement?

No. The document is signed and dated without a notary. If signing under a Power of Attorney, attach a copy of that document.

Healdsburg, CA · Sonoma County

No notary required

Lot Line Adjustment / Lot Merger Supplemental Information

Property owners provide parcel details and ownership consent with a lot line adjustment or lot merger application to the City of Healdsburg.

What this form is

This supplemental information sheet provides the reason for a proposed lot line adjustment or lot merger and details for up to four parcels, including APNs, addresses, and owners. Property owners certify their ownership or authority and consent to the adjustment or merger. Attach a copy of the Power of Attorney if signing under that authority, and use a separate sheet for additional owners.

Who needs it

Property owners applying for a lot line adjustment or lot merger use this sheet to provide parcel information and document owner consent.

How to submit it

The form lists the Community Development Department, Planning Division, at 401 Grove Street, Healdsburg, CA 95448-4723, and [email protected].

About notarization

This document is signed and dated without a notary; attach a copy of the Power of Attorney if signing under that authority.

How to submit this form

1
Download The Supplement
Download the Lot Line Adjustment / Lot Merger Supplemental Information PDF.
2
Complete Parcel Details
Print or type the reason for the request and the APN, tract or lot number, address, and owner details for each parcel.
3
Gather Attachments
Attach a Power of Attorney copy if signing under that authority; use a separate sheet for additional property owners.
4
Sign And Contact The City
Complete the owner consent and date fields. The form lists the Planning Division address and email for the Community Development Department.

Frequently asked questions

What does the lot line adjustment or merger supplement ask for?: It asks for the reason for the adjustment or merger, information about up to four parcels, and ownership consent. It also explains when to attach a Power of Attorney copy or separate owner information.
Who completes this supplemental information?: Property owners applying for a lot line adjustment or lot merger provide the parcel information and certify ownership or lawful Power of Attorney and consent.
Do I need a notary for the lot line adjustment supplement?: No. The document is signed and dated without a notary. If signing under a Power of Attorney, attach a copy of that document.
How do I submit the lot line adjustment supplement?: The form lists the Community Development Department, Planning Division, at 401 Grove Street, Healdsburg, CA 95448-4723, and [email protected].

Need something notarized?

This Lot Line Adjustment / Lot Merger Supplemental Information doesn’t need a notary — but if you have another Healdsburg form that does, a commissioned online notary can help.