Charlevoix Township

Application for Zoning Permit

The undersigned in compliance with the building and zoning ordinance or the township of Charlevoix, Michigan, makes application under the above mentioned ordinance for permission:

Located at

Upon the premises described as Lot __1__. Block __2__ of ______________3______________ Subdivisions, or as described on attached statement.


Sketch must accompany application showing lot lines, where all buildings are situated, where addition is to be and front, back, and side yard set backs. Include, driveways, drain fields (if any) and any other structures.
Owner's Address
Contractor's Address