APPLICATION FOR
OFFICE USE ONLY
DATE
RECEIVED:________________________________________________________
DATE APPLICATION DETERMINED
COMPLETE:____________________________ FEE: ______________________
DATE(S) REVIEWED BY PLANNING
COMMISSION:_________________________
DATE
APPROVED:_______________________________________________________ RECEIPT NO: _____________
Project/Applicant Information:
Project Title: ___________________________________________________________________________
Applicant: ___________________________________________________________________________
Address:
___________________________________________________________________________
___________________________________________________________________________
Phone: ____________________________________________ Fax: _________________
Applicant’s Interest /
Relationship in the property (circle one): OWNER PURCHASER AGENT
Owner (If other than the Applicant)
Name: ___________________________________________________________________________
Address:
___________________________________________________________________________
___________________________________________________________________________
Authorized Agent or
Representative:
Name: ___________________________________________________________________________
Company: ___________________________________________________________________________
Address:
___________________________________________________________________________
___________________________________________________________________________
Phone: ____________________________________________ Fax: _________________
Location of Property:
Property (Tax) Number: 45-011-________________________
Street Address of Parcel: ____________________________________________________________________
Current Zoning of Parcel: ____________________________________________________________________
Acreage of Parcel: ____________________________________________________________________
Existing Structures on
Parcel: _________________________________________________________________
Attach copy of Legal
Description of Property
Application for Site Plan
Review
Page 2
Description of Proposed Project:
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
Project Completion Schedule / Description of Phasing:
Describe prior Site Plan Reviews, Variances, and
Permits related to subject property, including dates:
I certify that the above
information is true and authorize officials of Suttons Bay Township to enter
the property during Site Plan Review.
Signature: By:
Name:
Title:
Attachments Required: