Land Division Application - Lincoln Township

LAND DIVISION APPLICATION

Return to: Ronald J. Thompson

Lincoln Township Land Division Administrator

1310 E. Beamish Rd.

Midland, MI 48642

989.687.9166

The Land Division provisions of PA 1996, section 109 of the Act, require local approval of division of land before it is sold, when the new parcel is less than 40 acres and not just a property adjustment. A municipality shall approve a proposed division within forty-five (45) days after the filing of the proposed division application.

1. Property Owner Information:

Name

Telephone

Mailing Address

Fax

City

State

Zip

2. Applicant Information (if not the property owner):

Contact Persons Name

Telephone

Business Name

Mailing Address

Fax

City

State

Zip

3. Parent Parcel Information:

Property Address

Parent Parcel Tax ID Number

a) Attach a copy of the legal description of the parent parcel before the division.

4. Previous Divisions:

Attach copies of all previous divisions of the parent parcel after March 31, 1997

5. Proposed Division:

Number of new parcels

Intended us (residential, commercial, etc.)

The divison 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 roadA new private road

A new public road, proposed road name

A new private road, proposed road name

A description of any division rights transferred from the parent parcel to another parcel?

Identify the other parcel

(See Section 109(2) of the Land Division Act. Make sure your deed includes both statements as required in Section 109(3) and 109(4) of the Act)

6. Development Site Limits

Check each which represents a condition that exists on the parent parcel

Waterfront property (river, lake, pond, etc)Is within a flood plainIs on muck soils or soils known to have severe limitations for on-site sewage systemsIncludes wetlandsIncludes a beach

7. Attachments

Attachments included

A. A survey sealed by a professional surveyor of proposed division(s) of parent parcel, or a map, drawn to scale of the proposed division(s) of the parent parcel each showing:B. Indication of approval, or permit from County Road Commission of MDOT for each proposed new road or easement.C. A copy of any transferred division rights (Section 109(4) of the Act) in the parent parcel.D. A fee of $100.00 for the first division and $25.00 for any subsequent divisions.E. Other (please list)

Please make check out to: Lincoln Township Treasurer and mail it with the application

8. Improvements

Describe any existing improvements (attach extra sheets if needed) which are on the parent parcel, or indicate none

9. Acknowledgement and Affidavit

I swear and affirm that the statements made above are true, and if found not to be true, in addition to all other applicable penalties for false statements, this application and any approval will be void. Further, I agree to comply with conditions and regulations provided with this parent parcel division. Further, I understand this is only a parcel division which conveys only certain rights under the applicable local land division ordinance, and the State Land Division (formerly the Subdivision Control Act, P.A. 2898 of 1967, as amended and does not include any representation or conveyance of rights in any other stature, building code, zoning ordinance, deed restriction of other property rights.

Property Owner Signature

Sign by hand after printing.

Date

Applicant’s Signature

(if other than property owner)

Sign by hand after printing.

Date

Subscribed and sworn to before me, a Notary Public, in and for said County, this ______ day of ____________, ________