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
Assessor:
____________________
