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Number of splits allowed by Statute: _____ Parcel Number: 80-01-__________
Number of splits requested: _________ Control Number: _________________
Name of owner of parcel: ____________________________ Date: ___________
ALMENA TOWNSHIP LAND DIVISION APPLICATION
Applicant MUST answer all questions and include all attachments, or this will be returned to you. Mail to Almena Township Hall, 27625 CR 653, Paw Paw, MI 49079
Approval of a division of land is required before it is sold, when the new parcel is less that 40 acres and not just a property line adjustment. (Sect. 102 (e&f)).
This form is designed 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.)
In the address section below, fill in where you want this form sent, when the review is completed:
Name __________________________________________________________________
Address ________________________________________________________________
City, State, Zip ___________________________________________________________
1. LOCATION OF PARENT PARCEL TO BE SPLIT:
Address or description of location: ___________________________________________
________________________________________________________________________
Parent Parcel Number: 80-01-_______________________________________________
Legal Description of Parent Parcel (attach extra sheets if needed): __________________
Township Name: Almena Township
2. PROPERTY OWNER INFORMATION
Name: __________________________________________________________________
Address: ________________________________________________________________
City, State, Zip: __________________________________________________________
Telephone Number: _______________________________________________________
3. APPLICANT INFORMATION: (if not the property owner)
Contact Person’s Name: ____________________________________________________
Business Name: __________________________________________________________
4. PROPOSAL: DESCRIBE THE DIVISION(S) BEING PROPOSED:
1. Number of new parcels: _________________________
2. Intended use (residential, commercial, etc.) ____________________________
3. The division of the parcel provides access to an existing public road by: (check one)
____ each new division has frontage on an existing public road
____ a new public road, proposed road name _______________________
(can not duplicate an existing road name)
____ a new private road/easement, proposed road name _________________
____ a recorded easement (driveway) (can not service more than one potential site)
4A. Write here, or attach a legal description of the proposed new road easement or shared driveway (Attach extra sheets if needed.) _______________________________
4B. Write here, or attach, a legal description for each new proposed new parcel.
(Attach extra sheets if needed.) ______________________________________________
5A. Future Divisions that might be allowed but not included in this application? ______
5B. The number of future divisions being transferred from the parent parcel to another
parcel? _____ Identify the other parcel: _________________________________________
(See section 109(2) of the Statute. Make sure your deed includes both statements as required in section 109(3) and 109(4) of the Statute)
6. DEVELOPMENT SITE LIMITS: Check each that represents a condition which exists on the parent parcel. Any part of the parcel:
_____ is a DNR-designated critical sand dune area.
_____ is riparian or littoral (it is a river front or a lake front parcel)
_____ includes a wetland
_____ includes a beach
_____ is within a flood plain
_____ includes slopes more than twenty five percent (a 1:4 pitch or 14 degree
angle) or steeper
_____ is known or suspected to have an abandoned well, underground storage
tank or contaminated soils
_____ is on mucky soils known to have severe limitations for on-site sewage
systems
7. ATTACHMENTS (All attachments must be included) Letter each attachment as shown here.
_____ A. 1. A survey, sealed by a professional surveyor at a scale of 100 feet to
the inch, of proposed division(s) of parent parcel.
OR
2. A map/drawing, to scale of 100 feet to the inch, of proposed
division(s) of parent parcel and the 30 day time limit is waived:
Signature_________________________
The survey or map must show:
1) current boundaries (as of March 31, 1997), and
2) all previous divisions made after March 31, 1997 (indicate when made or none), and
3) the proposed divisions, and
4) dimensions of the proposed divisions, and
5) existing and proposed road/easement rights-of-way, and
6) easements for public utilities from each parcel to existing public utility facilities, and
7) any existing improvements (buildings, wells, septic system, driveways, etc.)
8) any of the features checked in question number 6 (Development Site Limits) above.
_____ B. A copy of any transferred division rights (Sect. 109(4) of the Act) in
the parent parcel
_____ C. A fee of $125
_____ D. Deed to parent parcel recorded prior 3/31/1997
_____ E. Proof that all taxes and assessments are paid
_____ F. Other (please list)________________________________________________
8. IMPROVEMENTS Please describe any existing improvements (buildings, well, septic, etc.) which are on the parent parcel, or indicate none (attach extra sheets if needed):
____________________________________________________________________________
9. AFFIDAVIT and permission for municipal, county and state officials to enter the
property for inspections:
I agree that 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 regulation provided with this parent parcel division. Further, I agree
to give permission for officials of the municipality, county, and the State of Michigan
to enter the property where this parcel 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 this is only a parcel
division which conveys only certain rights under the applicable local land division ordinance, the local zoning ordinance, and 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 et. Seq.) and does not include any representation or conveyance of rights in any other statute, building code, zoning ordinance, deed
restriction or other property rights.
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 (apply for division approval again) unless deeds,
land contracts, leases or surveys representing the approved divisions are recorded
with the Register of Deeds or the division is built upon before the changes to laws
are made.
Property Owner’s Signature: ________________________________
Date: _____________
Signature: _________________________________________ Date: _____________
DO NOT WRITE BELOW THIS LINE____________________________________
Reviewer’s action: Total $________________ Receipt #_______________
_______ Approved: Conditions (if any): _____________________________________________________________________
_______ Denied: Reasons (cite section): _____________________________________________________________________
Signature and date: ______________________________________________________________________________________
