SUTTONS BAY TOWNSHIP

APPLICATION FOR SITE PLAN REVIEW

OFFICE USE ONLY

FILE NUMBER__________________

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

Suttons Bay Township

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: