PARCEL #__________________________DATE FILED_______________________
616-399-6121
Application is hereby made to the Planning Commission for a Planned
Unit Development pursuant to the provisions of the Zoning Ordinance.
Name of
Applicant___________________________________Phone #____________________
Mailing Address of Applicant______________________________________________________
Name of Owner (if different)______________________________________________________
Onwer mailing address and phone number____________________________________________
Parcel number of subject property__________________________________________________
Address of subject property_______________________________________________________
Current zone district of subject property_____________________________________________
Applicants interest in property_____________________________________________________
Present use of site: property and or structure__________________________________________
Proposed use of site: property and or structure_________________________________________
Size of existing and or proposed structure and parcel___________________________________
Description of existing or proposed structure__________________________________________
_____________________________________________________________________________
Describe the nature of your request_________________________________________________
_____________________________________________________________________________
______________________________________________________________________________
If there has been a previous request involving this PUD state the date
of filing, the nature of the request and disposition of
same____________________________________________________
______________________________________________________________________________
______________________________________________________________________________
________________________________________________
Signature of applicant/agent
THIS APPLICATION MUST BE ACCOMPANIED BY A SITE
PLAN AS REQUIRED BY SECTION 19.03 (b) (2) AND A FILING FEE OF $900.00 (plus)