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H:\CED\Data\Forms-Templates\Self-Help Handouts\Planning\LotCombination.doc Rev: 2/2017
LOT COMBINATION
GENERAL INSTRUCTIONS AND APPLICATION
The Revised Code of Washington (RCW) Section 58.17.040 (6) allows for alteration by adjusting the boundary lines
(lot combination) between contiguous properties provided that:
• No additional lots, tracts, or sites are created; and
• No parcels are established which contain insufficient area and dimension or setbacks as required by
zoning or other regulations.
In order to insure that a Lot Combination meets these requirements, it must be reviewed by the Department of
Community and Economic Development. Once approved, it must be recorded with the King County Recorder’s
Office.
REQUIRED ELEMENTS OF A DECLARATION OF LOT COMBINATION (SEE SAMPLE COPY ATTACHED) ARE AS
FOLLOWS:
1. The Declaration of Lot Combination document must contain the complete and accurate legal descriptions,
including any recorded easements along with the parcel number(s) of the existing/original. When completed,
the document must contain the notarized acknowledgements and signatures of ALL involved parties;
2. An accurate drawing of the existing/original and the revised/combined parcels, depicting the parcel number,
the location of all roads, easements, structures, and other features. The drawing does not need to meet a
particular scale, but it must be legible and clearly show property dimensions, distances from all structures to
property lines, and an arrow pointing north. A clear one (1) inch margin shall be left on all four (4) sides of
the drawing. Drawings should not exceed 8 ½” x 14” in size. The existing/original lots must be labeled Parcel
A, Parcel B, and so on;
3. Deeds, deeds of trust, or mortgage releases if ownership is being transferred;
4. “Declaration of Lot Combination” must be clearly filled in with dark ink printing or typing. The document must
have exact State required margins as follows: 3” Top Margin, 1” on each Side and Bottom of the page (your
return address can be within the 3” top margin). All other sheets must have 1” margins on both sides.
Once drafted, the original proposed Lot Combination documents (including items 1 through 4 above) shall be
submitted to Department of Community and Economic Development along with any applicable processing fee. In
the application, be sure to attach the name, address, and phone number of the person who should be contacted
when the Declaration of Lot Combination is ready to record or if a problem arises.
When approved, the applicants are notified that their Declaration of Lot Combination Documents are ready for
recording with King County, along with necessary supportive documents such as an excise tax affidavit deed(s),
deed(s) of trust, or mortgage releases.
CAUTION: Applicants may wish to obtain a title report and have the Declaration reviewed by a licensed land
surveyor and/or title officer to ensure that all deeds, legal descriptions, and maps are correct and accurate. The
accuracy of the Declaration and the associated deeds is the responsibility of the applicant. The City of Renton
assumes no liability for any errors or complications that arise therefrom.
City File Number __________
APPLICATION FOR LOT COMBINATION
City of Renton Department of Community and Economic Development
NATURE OF REQUEST:
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
Taxpayer/Owner ______________________________________________ Phone: (___) ___________
Address ______________________________________________
City/State ______________________________________________
Applicant ______________________________________________ Phone: (___) ___________
Address ______________________________________________
City/State ______________________________________________
Agent ______________________________________________ Phone: (___) ___________
Address ______________________________________________
City/State ______________________________________________
Parcel Data:
Site Address: ______________________________________________ Parcel #:_______________
Location: Quarter Section ____ Section ____ Township ____ Range _____
Related Parcels: ______________________ ______________________ ______________________
Existing Zoning: ____________________ Shoreline Environment: __________________________
Legal Description:
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
All dimensions must be shown, total square footage must be shown on revised lot drawing. Please list
parcel numbers for the original lots.
Combine two tax parcels (5182100016 and 5182100010) into a single parcel.
LS Propdrop LLC
P.O. Box 5350
Bend, OR 97708
541 416-5238
Same as owner
Michael Chen, Mackenzie
500 Union Street, Suite 410
Seattle, WA 98101
206 582-2573
354 Union Ave NE 518210016 and 5182100010
NW 15 23 5
CA Commercial Arterial N/A
See attached exhibit
Return Address:
City Clerk’s Office
City of Renton
1055 South Grady Way
Renton, WA 98057
Title:
DECLARATION of LOT COMBINATION
Property Tax Parcel Number(s):
Project File #:
LUA____-______-LC
Address or Intersection:
Section _____ Township _____ North Range _____ East, W.M., City of Renton, King County, Washington
Grantor(s): Grantee(s):
1. 1. City of Renton, a Municipal Corporation
I (We), hereby certify that I am (we are)
the owner(s) of the property described in Exhibit ‘A’ on page ____, said property being in common
ownership, do hereby petition the City of Renton to allow the separate parcels to be combined into
single legal lot(s) of record as described in Exhibit ‘B’ on page ____, as specifically allowed by the
Revised Code of Washington, Section 58.17.040 (6). The Map Exhibit on page ____ depicts the
original and the hereby revised parcels.
NOW THEREFORE, in consideration of the mutual benefits to accrue herefrom and by signing hereon,
the parties do for themselves, their heirs and assigns, revise the boundary lines of the parcels
described in the aforementioned Exhibit ‘A’ and establish and recognize the parcel legal
description(s) in the aforementioned Exhibit ‘B’ as the new parcel legal description(s).
IN WITNESS WHEREOF, said Grantor has caused this instrument to be executed
this ______ day of ___________ 20____
City of Renton Approval:
The petition of the property owner(s) to combine the separate properties described in the
aforementioned Exhibit ‘A’ into legal lots of record as described in aforementioned Exhibit ‘B’. This
lot combination is binding upon recordation and the resulting parcel(s) may only be divided through
the City of Renton’s formal subdivision process.
Planning Director Date
City of Renton Department of Community and Economic Development
LS Propdrop LLC
NW 15 23 5
5182100016 & 5182100010
354 Union Ave NE, Renton, WA 98059
Corey J. Parks
3
4
5 & 6
INDIVIDUAL FORM OF ACKNOWLEDGMENT
Notary Seal must be within box STATE OF WASHINGTON ) SS
COUNTY OF KING ) I certify that I know or have satisfactory evidence that ______________________
___________________________________________ signed this instrument and
acknowledged it to be his/her/their free and voluntary act for the uses and purposes
mentioned in the instrument
Notary Public in and for the State of Washington
Notary (Print)_____________________________________
My appointment expires:____________________________
Dated:
REPRESENTATIVE FORM OF ACKNOWLEDGMENT
Notary Seal must be within box STATE OF WASHINGTON ) SS
COUNTY OF KING ) I certify that I know or have satisfactory evidence that ______________________
___________________________________________ signed this instrument, on oath
stated that he/she/they was/were authorized to execute the instrument and
acknowledged it as the _________________________ and ____________________
of ___________________________ to be the free and voluntary act of such
party/parties for the uses and purposes mentioned in the instrument.
Notary Public in and for the State of Washington
Notary (Print)_____________________________________
My appointment expires:____________________________
Dated:
CORPORATE FORM OF ACKNOWLEDGMENT
Notary Seal must be within box STATE OF WASHINGTON ) SS
COUNTY OF KING ) On this _______ day of _____________, 20____, before me personally appeared
to me known to
be of the corporation that
executed the within instrument, and acknowledge the said instrument to be the free
and voluntary act and deed of said corporation, for the uses and purposes therein
mentioned, and each on oath stated that he/she was authorized to execute said
instrument and that the seal affixed is the corporate seal of said corporation.
Notary Public in and for the State of Washington
Notary (Print)_____________________________________
My appointment expires:____________________________
Dated: