APPLICATION for SPECIAL LAND USE

Baroda Township, Berrien County, Michigan

Applicant’s Name: ________________________________________________________ Permit Number __________________________

Address: ________________________________________________________________

City: _______________ State: ______ Zip: _________ Phone: _____________________

Property Address: _______________________________________________________

Permanent Parcel Number: _________________________________________________

Legal Description: ________________________________________________________

Existing Zoning: ________________________ Parcel size: __________________ (acres)

Describe the nature of the proposed Special Land Use.  Sec. 13.02.C identifies the required information necessary to file an application for Special Land Use.  Section 13.03 provides the basis for which the Planning Commission will use to render a decision.  In the space below or on additional pages, if needed, state how this request will conform to the intent of the Special Land Use provisions and the overall intent of the zoning district.

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Applicant’s Signature: _______________________________ Date: _________________

I hereby agree that the information provided is correct in its entirety.  I hereby grant permission to the Township officials to enter the above described property for the purposes of gathering information related to this application.  Note to applicant: This permission is optional and failure to grant permission will not affect any decision on the application, but may delay the ability to render a decision until sufficient information is provided by the applicant.

Ten (10) copies of a complete site plan containing all the information required by Sec. 14.3 of the Baroda Township Zoning Ordinance must accompany this application form, along with a fee, as established by the Township Board.

It is the applicant’s responsibility to meet the requirements of the Baroda Township Zoning Ordinance in all respects. Copies of the Ordinance may be obtained from the Baroda Township Offices.

For Office Use Only

Date application filed: _________________________

Fee amount: ___________ Date paid: _____________

Date of Planning Commission Work Session: _____________________________

Public Hearing date: _______________ Property Notices Sent: ______________

Advertised: ___________________ Approved: ____________________

Additional Requirements:  _____________________________________________                          

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         Zoning Administrator Signature