Parcels listed below are contiguous and we are requesting by kjy11098

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									                          NOTICE OF INTENT TO COMBINE PARCELS                   Date:_____________

       Parcels listed below are contiguous and we are requesting the Haywood County Land Records/GIS Office
to map them as one parcel to be given one new parcel number:
Parcel Number          **Calc.       Corresponding        *Grantee Name                   Acct Number
                       Acreage       Legal Reference
_______________        _________     ______________       ____________________________ _____________
_______________        _________     ______________       ____________________________ _____________
_______________        _________     ______________       ____________________________ _____________
_______________        _________     ______________       ____________________________ _____________
*Note: Parcels to be combined must have exact Grantee name as in current deed.
**Note: Acreage subject to change after re-mapping.
       Future divisions can only be made pursuant to the Subdivision and Pre-Development Ordinance, Title
XV, Chapter 152A, County of Haywood, North Carolina, Code of Ordinances.
       This _________ day of                  , 20____.

__________________________________(SEAL)                    ________________________________(SEAL)
Current Owner                                               Current Owner


STATE OF NORTH CAROLINA, COUNTY OF HAYWOOD
       I, a Notary of said State and County, do hereby certify that ____________________________________
Attorney in fact for _____________________________personally appeared before me this day, and being by me
duly sworn, says that he/she executed the foregoing instrument for and in behalf of ________________________
And that his authority to execute and acknowledge said instrument is contained in an instrument duly executed,
acknowledged, and recorded on the _____ day of ______, _____, in Book ______, Page ______, in the Office of
the Register of Deeds of Haywood County, North Carolina, and that this instrument was executed under and by
virtue of the authority given by said instrument granting him power of attorney; that the said
__________________
Acknowledged the due execution of the foregoing annexed instrument for the purposes therein expressed for and
in behalf of _________________________.

       WITNESS my hand and notarial seal this the _____ day of _________, 20____.

My commission expires:             ________________________________
____________________               NOTARY PUBLIC
Parcel Number        Calc.       Corresponding     Grantee Name           Acct Number
                     Acreage     Legal Reference


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__________________   _________   ______________    _______________________ ____________

								
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