#FFFFFF Click to view the policy on subdivision exemptions along with the PDF application form. #FFFFFF Existing Landowners as Appears in the Dolores County Records Name of existing landowner(s), as appears in the Dolores County records Address Address Address 2 City/Town State/Province - Select -AlabamaAlaskaAmerican SamoaArizonaArkansasArmed Forces (Canada, Europe, Africa, or Middle East)Armed Forces AmericasArmed Forces PacificCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFederate States of MicronesiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyoming ZIP/Postal Code Contact Person Contact's Email Buyers Information Name of buyer(s), as they will appear on the deed for the parcel Buyers Address as it will appear on the dead for the parcel Address Address 2 City/Town State/Province - Select -AlabamaAlaskaAmerican SamoaArizonaArkansasArmed Forces (Canada, Europe, Africa, or Middle East)Armed Forces AmericasArmed Forces PacificCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFederate States of MicronesiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyoming ZIP/Postal Code Parcel Information Is this property in a Conservation Easement - Select -YesNo Parcel location; i.e., section, township, range Domestic Water Source Access to Parcel Total acres of existing parcel before exemption application Size of parcel in acres and dimensions Reason for Exemption The applicant understands the following: That they are responsible for filing a proper and complete application, including (a) the correct name and address of the owner or owners of record as they appear in the records on file at the office of the Dolores County Clerk & Recorder and (b) the correct name and address of the buyer or buyers of the parcel or parcels, which will be used as Grantee upon the Deed, PROVIDING A VESTED DEED, ALONG WITH ANY OTHER DEEDS DEALING WITH THIS PROPERTY FOR THE LAST FIVE YEARS, and for complying with the standards and requirements contained in the Dolores County Policy on Subdivision Exemptions, which by this reference is made a part of this application, and any resulting resolution, unless expressly stated otherwise in such resolution. If subsequent examination discloses that there are errors in the information provided by the applicant in this application, the Board of County Commissioners may, in its discretion, require correction of the errors and grant an additional resolution upon payment of an additional fee and recording fees to be determined by the Board of County Commissioners. Any further consequential effects of correcting the errors shall be the sole responsibility of the applicant. The applicant shall sign, date and pay the fees at time of submission. Submit
