Type Full Name :
Sign With Hand
Property Owner Details
Are the Applicant's Details the same as the Owner? * If "Yes", you can skip this section.
Fee Information
3. A legal description for each lot being created.
Application Type *
Name of the County Road the Property fronts on or has access from *
Applicant Details
Zoning District
Address *
Applicant Address *
* indicates required fields
4. Copies of approvals or request of approval from other agencies, such as: Health Department, Jackson County Utility Authority, etc.
PIDN or Parcel Number *
Applicant Name *
Property Details
Owner Name *
Email *
By signing this, I understand that all of the above information must be complete, with attachments, in order for the application to be accepted, and the fee must be paid in full to begin processing.
Main Parcel Acreage *
Contact Information
2915 Canty Street, Suite Q
Pascagoula, MS, 39567
Phone # (228) 769-3115
Address *
Flood Zone
Total Acreage Requested for Lot Split/ Lot Line Adjustment *
5. Signed lease or purchase agreement if applicant is not the property owner.
2. Proof of ownership by way of Warranty Deed or Deed of Trust.
Lot Split / Lot Line Adjustment Application
City, State, ZIP *
Applicant City, State, ZIP *
Jackson County
The fee due for this application (if applicable) is
Phone # *
1. Accurate survey of property showing each proposed lot/tract with size indicated.
Reason for Request *
Attachments Required *