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OTSEGO COUNTY LAND USE SERVICES 225 W Main St GAYLORD MI 49735 PHONE: [PHONE REDACTED] * FAX: [PHONE REDACTED] www.otsegocountymi.gov APPLICATION TO COMBINE PROPERTIES UNDER ONE PARCEL NUMBER 1. PARCELS INVOLVED IN COMBINATION: A. Parcel 1: - - - - Section: Zoning District: Current Property Size: Address (If any): Parcel Identification Number: Township: Current Property Width: B. Parcel 2: Address (If any): Parcel Identification Number: - - - - Township: Section: Zoning District: Current Property Width: Current Property Size: Width After Combination: Size After Combination: 2. NAMES OF ALL OWNERS OF RECORD: Name: Mailing Address: Phone: Name: Mailing Address: Phone: ***If combining multiple properties, use an additional sheet of paper. Please list all owners involved making sure to include all signatures. Reason for Request: ---PAGE BREAK--- 4. CRITERIA FOR ZONING APPROVAL: A. B. C. Tax certification for all properties involved - Can be obtained from the County Treasurer – Additional fees apply Once combined under one parcel number, non-conforming properties cannot be separated A survey may be required if deemed necessary by the Zoning Administrator or Assessor I agree the statements made above are true and if found not to be true, this application and any approval will be void. Signatures of ALL owners of record required: Signature: Date: Signature: Date: Date Received: APPROVED BY: Signature: Printed Name: DENIED BY: Signature: Printed Name: Reason for Denial: ***By signing this application, you attest to the following: I attest that all information submitted in this application to be true; if not, application may be revoked I agree to comply with zoning requirements and any conditions placed on this permit Permission is granted to any official of the municipality, county and/or state to enter the property for purpose of gathering information concerning this application and/or inspections. ***FOR OFFICIAL USE ONLY*** Signature: Signature: Date: Date: