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Applicant Information Name: Address: City: State: Zip: Phone: E-mail: When a parcel combination can be considered: □ No new dwelling lot or housing unit results from the proposed parcel combination; □ The parcel combination does not result in remnant land that did not previously exist; and □ The parcel combination does not result in violation of applicable zoning requirements □ The property owners that will be subject to the parcel combination consent to the proposed combination, and the deed has been properly executed and acknowledged for recording purposes. □ The approved deed is recorded at the Weber County Recorder’s office. The Parcel combination form can be used to assist you in combining two or more adjacent parcels held in common ownership. This approach may be used for parcels that were previously created by a metes and bounds description under a deed, but will not be ef- fective for lots established by a subdivision plat. (Nothing in this process is intended to restrict a person from effecting the combina- tion outside of this process and then submitting proof of compliance to the City.) Submittal Checklist □ A copy of the ownership plat with the parcels to be combined highlighted and including the parcel numbers □ The completed deed(s) provided by Ogden City with legal descriptions of the existing parcels and of the combined parcels as they would exist if the parcel combination is approved □ Map or drawing showing existing parcels and how the parcels will appear after the proposed combination □ FEE: $25 Petition I/We, the undersigned petitioners, re- quest approval of deeds effecting a combination of parcels located at Utah, (addresses, separated by a comma) referred to as parcel number(s) (parcel numbers, separated by a comma) as shown on the accompanying map. Ogden City Development Services 2549 Washington Blvd. Suite 240 Ogden, Utah 84401 (801) 629-8930 Unplatted Parcel Combination Application Please print legibly and complete all areas: Name Signature Address Date ---PAGE BREAK--- Staff Use Only Conditions of Approval: Approved: Community Development Director or his designee date City Engineer date City Attorney date OGDEN CITY APPROVAL This lot combination effected in the above deed(s) is hereby approved by the Community Development Director or Director’s De- signee of Ogden City, in accordance with the Ogden City Ordinance and the requirements of State law, this ____day of ATTEST: OGDEN CITY, a municipal corporation City Recorder Community Development Director or Director’s designee ACKNOWLEDGEMENT STATE OF UTAH ) : § COUNTY OF WEBER) On this day of personally appeared before me Community Development Director or Director’s Designee, and the City Recorder, the signer(s) of the foregoing instrument who duly acknowledged to me that they executed the same. My Commission Expires: NOTARY PUBLIC in Utah. ---PAGE BREAK--- QUIT CLAIM DEED AND AGREEMENT FOR DEVELOPMENT OF LAND ) Grantor(s) of Ogden City, Coun- ty of Weber, State of Utah, hereby quitclaim(s) all of its right, title and interest to Grantee(s) of County of Weber, State of (Street address) Utah, for the sum of one dollar ($1.00) and other goods and valuable consideration of the following described tracts of land in WEBER County, State of Utah: All of Parcel ID In Ogden City, Weber County, Utah; to wit: See Exhibit attached hereto and incorporated herein by reference The new boundaries for the combined parcel is described as follows: See Exhibit attached hereto and incorporated herein by reference To be held hereafter in common ownership, unless subsequently subdivided in accordance with the require- ments of law. WITNESS the hand of said GRANTOR, this day of GRANTOR(S): By: Name/Title: ---PAGE BREAK--- ACKNOWLEDGMENT (Owner/Developer) (Complete only if Individual) State of Utah ) : § County of Weber ) On the day of personally appeared before me the signer(s) of the foregoing instrument, who duly acknowledged to me that he/she/they executed the same. NOTARY PUBLIC My commission expires: Residing in County (Complete only if OWNER is another type of entity, such as an LLC or Trust) STATE OF ) : § COUNTY OF ) On this day of personally appeared before me, the undersigned notary, who being by me duly sworn did say that he/she is the of a and that the foregoing instrument was signed in behalf of said entity, and he/she acknowledged to me that said entity executed the same. NOTARY PUBLIC My commission expires: Residing in County ---PAGE BREAK--- (Complete only if Corporation) STATE OF ) : § COUNTY OF ) On this day of personally appeared before me, who being by me duly sworn, did say that he/she is the of and that the forego- ing instrument was signed in behalf of said corporation by authority of its Board of Directors, and he acknowledged to me that said corporation executed the same. NOTARY PUBLIC My commission expires Residing in (Complete only if Partnership) STATE OF ) : § COUNTY OF ) On this day of personally appeared before me, who being by me duly sworn, did say that he/she/ they is/are the of a partnership, and that the foregoing instrument was duly authorized by the partnership at a lawful meeting held or by authority of its by- laws and signed in behalf of said partnership. NOTARY PUBLIC My commission expires Residing in