DECLARATION OF PARCEL COMBINATION

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DECLARATION OF PARCEL COMBINATION The Declaration of Parcel Combination (DPC) is intended for property owners who wish to combine two or more lots inside a recorded plat or short plat. Once a DPC has been recorded, the property owner(s) will no longer be required to observe the affected property line(s) in regard to site development. The DPC does not affect the number of water assessment fees, etc., assigned to a given lot. Applicants are responsible for submitting a complete and correct application. Planning Department staff will not make changes to an application; any incorrect or incomplete applications will be returned to the applicant. A complete Declaration of Parcel Combination application package must include the following items: 1. Signed and notarized Declaration. 615 W. Alder St. Bldg. 8, Shelton, Wa 98584 Phone: (360) 427-9670 ext. 352 Fax: (360) 427-7798 2. A copy of the short plat map or a portion of the platted subdivision map showing the lots that are to be combined. The map should be affixed to the space provided on the third page of the document (copies of maps can be obtained from the Mason County Assessor s Office for a small fee). Maps shall include; North arrow, scale and show all roads that are adjacent to the lots that are to be combined, along with their correct names. 3. Map pages should also include the applicant s name and mailing address, parcel numbers, and written descriptions of the lots to be combined (see attached example). 4. Fees: An application fee of $150.00 is due upon application (please make check payable to the Mason County Treasurer). There will also be a recording fee (payable to Mason County Auditor) due at the time of recording. Fees vary depending on number of pages to be recorded. The planner will let you know the amount necessary (around $75.00) for recording once the application has been approved. 5. In many plats, easements on all interior property lines are reserved for utility and drainage purposes. In such cases, the easements will have to be removed through a public hearing process prior to a DPC being recorded. Please see the handout REMOVING UTILITY & DRAINAGE EASEMENTS for requirements and fees. 6. Please note that the DPC cannot be recorded until the current year taxes have been paid. If an applicant has any problems completing this application, please feel free to call the Mason County Permit Assistance Center at (360) 427-9670, extension 352.

DECLARATION OF PARCEL COMBINATION DPC # This declaration is being made for the purpose of combining two (or more) lots, tracts, parcels, sites, or divisions into a single lot, tract, parcel, site, or division. THIS DECLARATION, MADE THIS day of, 20 by (name) (mailing address) (city) (state) (zip code) (day phone) (evening phone) hereinafter referred to as DECLARANT(S), owner(s) of the real property legally described on EXHIBIT A attached hereto and made a part hereof, who wish(es) to combine the real property described on EXHIBIT A into a single lot, tract, parcel site, or division. The DECLARANT(S) agree(s) that the real property described on EXHIBIT A shall henceforth be considered a single lot, tract, parcel, site, or division and together shall not be further subdivided without the prior written consent of the Director of Community Development of Mason County. IN WITNESS THEREOF, the party(ies) hereto have executed this instrument as of the date first above written. PARCEL # s TO BE COMBINED (12 digits) APPROVED DATE Director of Community Services DPC #

DECLARANTS Print Name Signature STATE OF WASHINGTON ) :SS COUNTY OF ) I, the undersigned Notary Public, in and for the jurisdiction aforesaid, do hereby certify that :SS SEAL: whose name(s) is(are) signed to the Declaration of Parcel Combination, appeared before me and personally acknowledged the same. GIVEN under my hand and seal this day of, 20. My commission expires: (signature) APPROVED DATE Director of Community Services

EXHIBIT A (MAP) D.P.C.# DECLARATION OF PARCEL COMBINATION FOR (name and mailing address): DECLARATION OF PARCEL COMBINATION OF (abbreviated legals): PARCEL NO. S: APPROVED DATE: Director of Community Services

615 W. Alder St. Bldg. 8, Shelton, Wa 98584 Phone: (360) 427-9670 ext. 352 Fax: (360) 427-7798 INSTRUCTIONS FOR ELIMINATING UTILITY AND DRAINAGE EASEMENTS FROM THE FACE OF A PLAT Subdivisions platted since the late 1960's have protective covenants or special provisions, which were recorded on the face of the applicable plat. These covenants, or provisions, typically reserve a five-foot easement, for purposes of utilities and drainage, on either side of all interior lot lines and ten feet along all lot lines that border the edge of the plat. This has caused difficulties for property owners that own two or more adjacent lots with the hope of building over the recorded lot lines. It is necessary for property owners to eliminate such easements through the procedures prescribed in R.C.W. 58.17.215 "Alteration of Subdivision" before building or combining parcels. In order to eliminate a utility and drainage easement the applicant is required to: 1. Apply to the Director of the Department of Community Development, requesting an elimination of utility and drainage easements, and state the reason for such a request. 2. Obtain signed waivers (originals only on letterhead) from all entities that have a legal right to use such easements. Such entities may include the Home-Owners Association, water district, PUD, Telephone Company, and Cable Company. Upon application, the Planning Department will contact Mason County Public Works for a release letter when necessary. 3. A photocopied plat map (available from the Assessors Office) should also be attached. This map must show all the lots affected by the proposed easement elimination, as well as existing and proposed improvements. 4. The applicant shall also supply stamped and addressed 4 ⅛ x 9 ½ envelopes for all property owners within the effected division/phase of the subdivision that the easements are located in. A list of such property owners can be purchased from the Mason County Assessors Office. The Department of Community Development will stuff (and mail) the envelopes that you provide with Notices of Easement Removal. If any person requests that a hearing be held to decide the matter, a public hearing will be scheduled. For a public hearing, you will also be billed for the publication costs. In all cases, a written approval is required from the Hearings Examiner for the easement removal. The applicant is charged the following fees for the easement elimination: Easement Removal Fee: $250.00 Hearing Examiner Fee: $340.00 **After the resolution to eliminate a utility and drainage easement has been approved, it will still be necessary to record a Declaration of Parcel Combination in order to build across a property line.

Mason County Department of Community Development 615 W. Alder Street Shelton, WA 98584 Please print neatly or type information DOCUMENT TITLE(S) REFERENCE NUMBER(S) OF RELATED DOCUMENTS GRANTOR(S) (Last, first and middle initial) (ADDITIONAL REFERENCE # S ON PAGE ) GRANTEE(S) (Last, first and middle initial) (ADDITIONAL REFERENCE # S ON PAGE ) LEGAL DESCRIPTION (Abbr. form: quarter/quarter, section, township & range, plat, lot & block) PARCEL NUMBER(S) (ADDITIONAL REFERENCE # S ON PAGE ) (ADDITIONAL REFERENCE # S ON PAGE ) The Auditor/Recorder will rely on the information provided on this form. The staff will not read the document to verify the accuracy or completeness of the indexing information provided herein.

JOURNAL COSTS FOR EASEMENT REMOVAL OWNER SIGNATURE PRINT NAME DATE OR APPLICANT SIGNATURE PRINT NAME DATE

DECLARATION OF PARCEL COMBINATION For PLAT OF LAKE CUSHMAN Declaration of Parcel Combination s (DPC) that are submitted for parcels within the Plat of Lake Cushman are required to submit approval letters from the Lake Cushman Company (the underlying lease holder) and Lake Cushman Maintenance Company. Mason County will not approve parcel combinations or boundary line adjustments, in this plat, without the written approval. The necessary contact information, for both companies, is provided below. If your parcel is located in Division 11 or higher, you will be required to remove the utility and drainage easements that are placed within those divisions. There is a separate handout, which pertains to eliminating the easements from the face of a plat. If you did not receive this informational sheet, please contact our office at: (360) 427-9670, extension 352. LAKE CUSHMAN COMPANY 24113-56 TH AVE. WEST MOUNTLAKE TERRACE, WA 98043 LAKE CUSHMAN MAINTENANCE CO. NORTH 3740 N LAKE CUSHMAN RD HOODSPORT, WA 98548-9711 PHONE: (360) 877-5233 FAX: (360) 877-6713 PHONE: (425) 775-3880 FAX: (425) 673-6373

MAP EXHIBIT A - SAMPLE - North DECLARATION OF PARCEL COMBINATION FOR: John and Laura Smith P.O. Box 5000 Somewhere, WA 12345 DECLARATION OF PARCEL COMBINATION OF: Lot 26 Division 3 of Lake Cushman Lot 27 Division 3 of Lake Cushman PARCEL NO. S: 12345-6-78910 12345-6-78911 SCALE: 1 = 50 D.P.C.# APPROVED DATE: Director of Community Services

FOLLOWING PLATS REQUIRE AN EASEMENT REMOVAL 1. ALDERBROOK GOLF & YACHT CLUB DIV. 1-12 54. Olympic Trails 2. AYOCK BEACH 1 ST ADD. 55. PARKSHORE ESTATES 3. AYOCK BEACH 56. PRAIRE PLACE 4. BEACON POINT 57. PURDY CREEK TRACTS 5. BEACON POINT RESORT 58. RAE LAKE 6. BEARDS COVE 59. RAINBOW LAKE 7. BELCOVE ESTATES 60. RIVERHILL DIV. 2 8. BELFAIR BARN 61. ROBILLARD COVE 9. BLUE HERRON CONDO 62. RUSTLEWOOD 10. BONNIE GLEN 63. SATKO GLEN 11. BRISCO POINT 64. SHADOW WOOD 12. CHERRY PARK 65. SISKAN CONDO 13. COLLINS LAKE 66. SMITH COVE 14. COLONY SURF DIV. 1-3 67. SPENCER GLEN (5 EASEMENT) 15. COLONY SURF DIV. 4 AND UP 68. SPENCERWOOD (10 EASEMENT) 16. CRESTVIEW ADDITION 69. SPRINGWOOD 17. CURRIES LANDING 70. STAR LAKE 18. DOW CREEK ESTATES 71. SUNSET VIEW TRACTS 19. EAGLE WOOD 72. TAHUYA RIVER VALLEY 20. EDGE WOOD BEACH 73. TERRACE HEIGHTS 21. EMERALD LAKE 74. TIMERLAKES DIV. 1-12 RELEASE TIMERLAKES ONLY 22. FIRWOOD GARDENS 75. TIBERLAKES DIV 13 23. GRENADIER PARK 76. TWANOH FALLS 24. HARSTENE RETREAT 77. VIEW RIDGE HEIGTS 25. HIGH LAND ESTATES 78. VINEYARD COVE 26. HOME STEAD ACRES 79. WONDERLAND 27. HOOD CANAL HIGHLAND 80. WOODLAND MANOR DIV. 2 AND UP 28. HOOD CANAL TERRACE 29. ISLAND HIDE-A-WAY 30. ISLAND LAKE MANNOR 31. ISLAND SHORES 3 RD ADD. 32. KAMILCHE POINT REPLAT 33. LAKE CHRISTINE 34. LAKE CUSHMAN DIV 11 & UP CUSHMAN LETTER 35. LAKE CUSHMAN E.S. CUSHMAN LETTER 36. LAKE CUSHMAN W.S. CUSHMAN LETTER 37. LAKELAND VILLAGE DIV. 4 & UP 38. LAKE LIMERICK 39. LATVIAN VILLAGE 40. LITTLE MISSION CREEK 41. LYNCH COVE DIV 2 & UP 42. MADING S SUNNY SLOPE 43. MAGGIE LAKE DIV. 1,2,3 44. MANKE S ALPINE VIEW 45. MARK PARK 46. MILLER S ADDITION 47. MILWOOD 48. MISSION CREEK 49. MOUNTAIN VIEW ADD. 50. NAHWATZEL BEACH 51. NORTH VIEW CIRCLE 52. OAK PARK 53. OLYMPIC GATEWAY ADD.