F-007 Clackamas County Replat Evaluation form Property Line Adjustment or Replat? Evaluation
Clackamas County Surveyor's Office
150 Beavercreek Road # 325, Oregon City, OR 97045
503-742-4475
http://www.clackamas.us/surveyor/
PROPERTY INFORMATION (Required)
Assessors Tax Map Number: Tax Lot Number:
Brief description of proposed change:
APPLICANT/OWNER INFORMATION (Required)
Date Requested:
Applicant Name:
Applicant Address:
Phone Number:
E-mail Address:
Owner Name:
Owner Address:
Phone Number:
E-Mail Address:
STAFF REVIEW
Proposed change is to be processed as a Clackamas County Zoning and Development Ordinance (ZDO)
Section 1107 - Property Line Adjustment Survey with deeds. (Pursuant to ORS 92.010 (9b) (12); 92.190 (2),
(3) and (4).
Proposed Change is to be processed as a Clackamas County Zoning and Development Ordinance (ZDO)
Section 1105 -Replat/ Partition Plat (Pursuant to ORS 92.010 (13).
By: Date:
Comments:
(Attach copy of sketch or tax map with proposed change shown)
cc: Surveyor _cc: Owner
Rev. 2/10/17