Boundary Adjustment Application

Address(Required)
Address(Required)

1) Parcel (Providing Land) Information:

Max. file size: 512 MB.
d) Has the parcel previously been divided?(Required)

Max. file size: 512 MB.

2) Parcel (Receiving Land) Information

Max. file size: 512 MB.
d) Has the parcel previously been divided?(Required)

Max. file size: 512 MB.

3) Site Limits

Please indicate if any of the limitations below exist on the parcel.

4) Attachments

(Please include the following attachments and label each attachment appropriately)
  1. A survey of the Parent Parcel drawn to scale which includes the following:
    1. Location and dimensions of the land to be conveyed
    2. Existing and proposed road/easement right-of-way(s)
    3. Legal description of proposed new road, easement or shared driveway )
    4. Utility easements to new parcel from existing utilities
    5. LAny existing improvements (buildings, wells, septic system, driveways, etc.)
  2. Land Division Tax Payment Certification by Grand Traverse County Treasurer that indicates all property taxes and special assessments, for the five (5) years preceding the application date, have been paid in full.
Drop files here or
Max. file size: 512 MB.

    5) Acknowledgment

    The undersigned acknowledges that any approval of this application is not a determination that the resulting parcels comply with other applicable ordinances, rules or regulations which may control the use or development of the parcels. The undersigned agrees that the statements made in this application are true and correct and acknowledges that, if found not to be true, this application and any approval will be void.
    This form needs two signatures. If two signees are not together when completing this form, then the first needs to NOT SUBMIT the form, but "Save and Continue Later." Input the second owners email address and they will receive the form in order to complete and submit.
    Consent of Owner Providing Land(Required)
    Consent of Owner Receiving Land(Required)
    Clear Signature
    Clear Signature
    Date(Required)
    Date(Required)
    This field is hidden when viewing the form

    Office Use Only

    Approved: (With conditions below, if any)



    Denied: (Please include reasons for denial)



    Assessing Department

    Amy L. Dehaan

    Zoning Department

    Michael Green

    Planning Department

    John Sych