A. A certificate of survey that complies with the requirements of P.A. 132 of 1970 as
amended or scale drawing (whichever is deemed necessary), for the division(s) of the parent
parcel, showing all the following:
(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 division(s), and
(4) dimensions of the proposed division(s), and
(5) existing and proposed road\easem
ent right-of-way(s), and
(6) easements for public utilities from each parcel that is a development site to existing
public utility facilities, and
(7) any existing improvements (buildings, wells, septic system
s, driveways, etc.) indicate
or none if none exist.
(8) any of the features checked in question num
ber 5.
B. Indication of approval, or permit from Chippewa County Road Commission, that a
proposed easement(s) provides vehicular access to an existing road street meets or
applicable location standards.
C. A copy of any reserved division rights (sec. 109 (4) of the act) in the parent parcel.
D. A fee of $60.00 per child parcel created.
7. Improvements - Describe any existing improvem
ents (buildings, well, septic, etc., which
are on the parent parcel or indicate none).
8. Affidavit and permission for municipal, county and state officials to enter the property for
inspec
tions:
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 com
ply with the conditions and regulations
provided with this parent parcel division. Further, I agree to give permission for officials of the
municipality, county or State of Michigan to enter the property where this parcel division is
proposed for purposes of inspection. Finally, I understand this is only a parcel division which
conveys only certain rights under the State Land Division Act (formerly the subdivision control
act P.A. 288 of 1967, as amended (particularly by P.A. 591 of 1996 and P.A. 87 of 1997), MCL
560.101 et. seq.) and does not include any representation or conveyance of rights in any other
statute, building code, zoning ordinance, deed restrictions or other property rights.
Finally, even if this division is approved, I understand local ordi
nances 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 representing the approved
divisions are recorded prior to changes with the Register of Deeds. (Recording must be within 90
days after board approval or approval is void).
Property Owner's Signature
Date:
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