Jackson Moss Point

Lot Line Adjustment Lot Split

Yes No

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 *

Signature

Name of the County Road the Property fronts on or has access from *

Applicant Details

Zoning District

City

Address *

Applicant Address *

4. Copies of approvals or request of approval from other agencies, such as: Health Department, Jackson County Utility Authority, etc.

Utilities

PIDN or Parcel Number *

Applicant Name *

City

Property Details

Owner Name *

Certification

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
www.co.jackson.ms.us

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 *