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OTSEGO COUNTY LAND USE SERVICES 1322 HAYES ROAD GAYLORD MI 49735 PHONE: [PHONE REDACTED] * FAX: [PHONE REDACTED] www.otsegocountymi.gov LOT LINE ADJUSTMENT APPLICATION 1. LOCATION OF PARCELS INVOLVED A. Location of parcel TRANSFERRING LAND: Address (If any): Parcel Identification Number: - - - - Township: Section: Zoning District: Current Lot Width: Current Lot Size: Lot Width After Transfer: Lot Size After Transfer: B. Location of parcel RECEIVING LAND: Address (If any): Parcel Identification Number: - - - - Township: Section: Zoning District: Current Lot Width: Current Lot Size: Lot Width After Transfer: Lot Size After Transfer: 2. NAMES OF ALL PARTIES A. Owner of PARCEL TRANSFERRING LAND: Name: Mailing Address: Phone: ( ) - B. Owner of PARCEL RECEIVING LAND: Name: Mailing Address: Phone: ( ) - 3. PROPERTY SURVEY signed and sealed by a professional surveyor registered in the State of Michigan including the following: North arrow, date and scale Resulting setbacks front, rear and sides on transferring and receiving property Existing parcel boundaries and legal description of transferring and receiving parcels Boundaries and legal description of land to be transferred Location of existing structures on transferring and receiving parcels ---PAGE BREAK--- 4. CRITERIA FOR ZONING APPROVAL A. Both parcels after transfer must meet minimum Zoning standards. B. Ratio of lot depth to width shall not exceed four to one C. Yard space and off-street parking minimums must be met D. Tax certification for all properties involved – Additional fees apply 5. ATTACHMENTS A fee of $ A copy of Natural Rivers zoning approval (where applicable) 6. AFFIDAVIT and permission for municipal, county and state 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. Signatures of ALL parties: OWNER OF PARCEL TRANSFERRING LAND Signature: Date: OWNER OF PARCEL RECEIVING LAND Signature: Date: ***FOR OFFICIAL USE ONLY*** Date Received: Application Fee: APPROVED BY: Signature: Printed Name: DENIED BY: Signature: Printed Name: Reason for Denial: