Land Division

Fee Paid ___________

Date Paid __________

LAND DIVISION APPLICATION

You must answer all questions and include all attachments, or this application will be returned to you. When complete, bring or mail to: Village of Nashville, 203 N Main PO Box 587, Nashville, MI 49073.

Approval of a land division is required before it is created or transferred to another party. This form is designed to assist the applicant to comply with applicable local zoning, land division ordinances and Section 109 of the Michigan Land Division Act (formerly the Subdivision Control Act. P. A. 288 of 1967, as amended (particularly by P. A. 591 of 1996), MCL 560.101 et.seq.)

Where do you want this form sent when the review is completed?

Name ________________________________________________________________________

Address ______________________________________________________________________

City ________________________________________ State ____________ Zip _____________

1. PARENT PARCEL OR PARENT TRACT INFORMATION

Are there any delinquent or current taxes owing on the parent parcel(s)? _____ If you answered “yes”, this application will not be accepted until said taxes are paid in full.

Property Address of Parent Parcel(s)

Street No. _____ Street ___________________________

Parcel Number of Parent Parcel(s)

08-052 - _______________________________________

Legal description of Parent Parcel(s) (attach extra sheets if necessary)

________________________________________________________________________________

2. PROPERTY OWNER INFORMATION

Name _________________________________ Daytime Phone _________________________

Mailing Address ________________________ Fax# _________________________________

City __________________________________ State _______________ Zip ______________

3. APPLICANT INFORMATION (if different than property owner above)

Name _________________________________ Daytime Phone _________________________

Mailing Address ________________________ Fax# _________________________________

City __________________________________ State _______________ Zip ______________

4. PROPOSAL

A. Total number of resulting parcels (resulting parcels includes those parcels to be retained by owner) _______

B. Total number of resulting parcels to be used for development sites _____

C. For those parcels to be used for development sites, enter the number of sites which are intended for the following uses(s) and designate such uses on the applicable survey.

____ Agricultural

____ Residential

____ Commercial

____ Industrial

____ Other _______________________________________________________________

D. Total number of resulting parcels to be used for non-development sites ____

E. For those parcels to be used for non-development sites, enter the number of sites to be used for the following uses(s):

____ Farming

____ Open space

____ Other _______________________________________________________________

F. Will any of the resulting parcels require the use of, or be affected by, a proposed or existing easement? _____

5. ATTACHMENTS (all attachments must be included)

A. Survey(s) for each resulting parcel, prepared by a registered land surveyor, to include:

____ dimensions of each resulting parcel, including all parcels to be retained by the owner

____ legal description of each resulting parcel, including all parcels to be retained by the owner

____ location and legal description of existing and proposed road/easement right of ways

____ easements for public utilities from each parcel to existing public utility facilities

____ drawings of any existing improvements (buildings, wells, septic system, driveways, etc)

and their location with respect to proposed lot lines

____ location of all natural or man-made water courses including lakes, rivers, ponds, creeks,

drains, etc.

B. Indication of approval, or permit from the Village and/or MDOT for each proposed new road, easement or shared driveway.

C. For each proposed private road, a copy of road specifications as required by the Village zoning ordinance.

D. A copy of any transferred division rights which clearly identifies the number of division rights that each resulting parcel is receiving. If no division rights are being transferred, then a written statement to this effect must be prepared and submitted.

E. The fee for processing this application is $200 for division which results in less than 3 parcels. For each resulting parcel after 3 parcels, the fee is an additional $30 per parcel.

F. History of prior land divisions – title search provided may be necessary.

6. AFFIDAVIT and permission for permission for municipal, county and state officials to enter the property for inspections:

I agree the statements made above are true, and if found not to be true this application and any approval will be void. Further, I agree to comply with the conditions and regulations provided with this parent parcel or parent tract division. Further, I agree to give permission for officials of the municipality, county, and State of Michigan to enter the property where this parcel or tract division is proposed for purposes of inspection to verify that the information on the application is correct at a time mutually agreed with the applicant. Finally, I understand that any permit hereunder only constitutes approval to create a land division pursuant to the State Land Division Act (formerly the Subdivision Control Act, P. A. 288 of 1967, as amended (particularly by P. A. 591 of 1996), MCL 560.101 el.seq.), and does not provide, constitute, infer or imply use of zoning approval of any such division, easement or resulting parcels or constitute, infer or imply build ability or compliance with any other applicable statue, law, building code, deed restriction or property right.

Finally, even if this division is approved, I understand zoning, local ordinances, and State Acts change from time to time, and if changed the divisions made here must comply with the new requirements (i.e., apply for division approval again) – see the Nashville Land Division Ordinance for time limitations.

______________________________________________ ______________

Property Owner’s Signature Date