"*" indicates required fields Date* Name* First Last Phone*Email* Address* Street Address City State / Province / Region ZIP / Postal Code Property InformationParcel NumberAddress of Site* Street Address City State / Province / Region ZIP / Postal Code Subdivision Name*Application is hereby made to Harrisville City to adjust lot lines between the following lotsPlease upload a digital copy of the plat map*Max. file size: 50 MB. Signatures from surrounding properties affected by the lot line adjustmentOwner/PetitionerYour NameYour NameYour NameYour NameOwner/PetitionerYour NameYour NameYour NameYour NameOwner/PetitionerYour NameYour NameYour NameYour NameOwner/PetitionerYour NameYour NameYour NameYour NameSignature from Applicant applying for lot line adjustmentSignatureYour NameYour NameYour NameYour NamePayment InformationConfirmation Email Address Δ