Planning / Zoning Application – Charlevoix Township

Planning/Zoning Application

Charlevoix Township Application

Site Plan Review

Site Plan Amendment

Special Use Permit*

Rezoning Request*

Request to Amend Zoning Ordinance*

Variance Request*

Appeal of Zoning Administrator's Decision or Request for Interpretation*

Request for Temporary Dwelling Unit

Property Address

Street Address City State / Province / Region ZIP / Postal Code

Property Number(Required)

Zoning District(Required)

Applicant's Name(Required)

First Last

Applicant's Phone

Applicant's Address

Street Address City State / Province / Region ZIP / Postal Code

Owner of Property

Owner's Phone

Owner's Address

Street Address City State / Province / Region ZIP / Postal Code

Existing Uses of Property

Proposed Uses of Property

Special Use Permit -Indicate the special use and the specific section that regulates the zoning:

Rezoning - Indicate the existing and proposed zoning districts and the specific section that regulates the zoning:

Amending the Zoning Ordinance - Indicate the specific section(s) proposed to be changed:

Variance Requests - List the specific section that you are requesting a variance from and describe why a variance is needed. Attach a written statement on how the variance request meets specific standards listed in section 11.6 of the zoning ordinance:

Appealing the Zoning Administrator's Decision or Requestion an Interpretation - List the specific(s) in question and the reasoning for an appeal or interpretation:

Applicant's Signature (If Not Owner)

Owner's Signature

Duly Authorized Legal Agent

Fees:

Special Use Permit Or Rezoning At A Regularly Scheduled Meeting

Special Use Permit Or Rezoning At A Special Meeting

A Special Public Hearing / Meeting

A Zoning Board of Appeals Meeting

$150

$475

$625

$400

Make Check Payable To Charlevoix Township Treasurer And Return With Completed Application To:

Charlevoix Township

12491 Waller Road

Charlevoix, MI, 49720

Notarization:

I(We) depose and say under penalties of perjury that all of the statements, specifics, proposals and/or plans contained in or submitted with this application are true.

Special use permits, rezones and board of appeals meetings require notarization.

Owner or Duly Authorized Legal Agent

County of...

State of...

Subscribed And Sworn To Before Me On This

Day of 20**

Notary Public

My Commission Expires