|
| |
LAND DIVISION APPLICATION
Fee Paid ___________
Date Paid __________
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 ___________________________
Street No. _____ Street ___________________________
Street No. _____ Street ___________________________
Parcel Number of Parent Parcel(s)
08-052 - _______________________________________
08-052 - _______________________________________
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 5 parcels. For each resulting parcel after 4 parcels, the fee is an
additional $25 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
|
VILLAGE
OF NASHVILLE, MICHIGAN
