April 2020
ALL QUESTIONS MUST BE ANSWERED AND ALL ATTACHMENTS INCLUDED
FOR PROCESSING OF THIS APPLICATION.
$______________ APPLICATION FEE The fee is $25.00
PROPERTY OWNER INFORMATION:
NAME: ___________________________________________________________________
ADDRESS: ________________________________________________________________
CITY, STATE, ZIP: __________________________________________________________
*PHONE NUMBER: _________________________________________________________
EMAIL: ______________________________________@___________________________
*Where you can be reached for questions or to schedule permission for a possible site visit.
A COPY OF THIS FORM WILL BE RETURNED TO THIS ADDRESS
1. Location of parent parcel/tract(s) to be Combined:
Address: ________________________________________ Parcel ID 3907-____- ________-________
Address: ________________________________________ Parcel ID 3907-____- ________-________
Address: ________________________________________ Parcel ID 3907-____- ________-________
Address: ________________________________________ Parcel ID 3907-____- ________-________
2. Attachments: All attachments must be included for application to be processed.
Letter each attachment as shown here. Label each legal description to correspond with survey.
A. A survey or map/drawing of parent parcel/tract drawn to a scale of 1”=20’, 1”=50’, 1”=100’, 1”=200’, 1”=400’, or 1”=1000’.
The scale used shall best represent the property and improvements. The survey or map/drawing will include the
following:
1. The labeled proposed combination(s).
2. Dimensions of the proposed combination(s).
3. Scaled location of any improvements (buildings, wells, septic systems, etc.).
4. Existing and proposed road right of ways.
All the legal descriptions for the newly combined parcels will be labeled to correspond with the survey or
map/drawing.
3. Proposed Combination
_________ Combining for tax purposes only __________ Combining with a Deed
4. Affidavit and permission for Comstock Charter Township, Kalamazoo County, and State of
Michigan officials to enter the property for inspections:
I agree 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 regulations provided with this Combination. I understand this is only a combination
which conveys only certain rights under the applicable local ordinances, and does not include any representation or
conveyance of rights in any other statute, building code, zoning ordinance, deed restriction or other property rights.
CHARTER TOWNSHIP OF COMSTOCK
TOWNSHIP LAND COMBINATION APPLICATION
To The Township Assessor
Date Received by
Assessor:
____________________
April 2020
Township combination approval in no way guarantees the issuance of a building permit. If this Combination is approved, I
understand Deeds or Land Contracts representing the approved combination may be required and recorded with the Register
of Deeds, or any approval will be void.
__________________________________________________ ___________________________________
Property Owner(s) Signature Date
__________________________________________________ ___________________________________
Property Owner(s) Signature Date
___________________________________________________________
OFFICE USE ONLY. Please do not mark in boxes below.
New Parcel Identification Number(s): _______________________________________________________________________
_______ Approved: Conditions, if any; _______________________________________________________________________
_______________________________________________________________________________________________________
________ Denied: Reasons; _______________________________________________________________________________
_______________________________________________________________________________________________________
______________________________________________ ___________________________________
Signature Township Assessor Date
ZONING REVIEW:
_____________ Reviewed
Recommend Approval: ______ Recommend Denial: ______________
Comments, if any ______________________________________________________________________
_____________________________________________________________________________________
______________________________________ ___________________________
Signature Zoning Administrator Date
TREASURER’S REVIEW:
_________Reviewed:
Comments, if any_______________________________________________________________________
_____________________________________________________________________________________
TAXES CURRENT: _________ YES __________ NO
_______________________________ __________________________
Signature - Treasurer Date
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