Land Use Application

<body topmargin=0 leftmargin=0 marginheight=0 marginwidth=0> <table cellpadding=0 cellspacing=0 border=0 height="100%"><tr> <td valign="top" rowspan="2" width=5 BGCOLOR="#99CC99" TEXT="#080000" bgproperties="fixed" background="0408dfc3.jpg"> <bR> </td> <td valign="top" colspan=2 height=82 style=" border-bottom: 1px solid #999980;" BGCOLOR="#FFFFCC" TEXT="#080000"> <div> <FONT SIZE="5" COLOR="#000000" FACE="Arial" ><B>Roscommon Township</B></FONT><FONT SIZE="2" COLOR="#000000" FACE="Times New Roman" ><B> </B></FONT> |     <A HREF="index.htm" TARGET="_top" TITLE="Roscommon Township">home</A>     <A HREF="id20.htm" TARGET="_top" TITLE="Services">Services</A>       <B>    </B></div> <bR> <bR> <bR> <bR> <div> </div> </td> </tr><tr> <td valign="top" height=398 width="100%" colspan=2 style=" border-top: 5px solid #990000;" BGCOLOR="#FFFFFF" TEXT="#080000"> <div> ROSCOMMON TOWNSHIP LAND USE CERTIFICATE APPLICATION</div> <bR> <div> DATE: _____________________________________                              Permit  Number ________________</div> <bR> <div> Owner: ______________________________________________         Phone: _______________________</div> <bR> <div> Owner Address: _________________________________________________________________________</div> <bR> <div> Property Address: __________________________________Property # _____________________________</div> <div> Sketch lot, include dimensions, sizes and location of proposed structure, distances between structures on all sides </div> <div> from front, side and rear lot lines.</div> <bR> <bR> <bR> <bR> <bR> <bR> <bR> <bR> <bR> <bR> <bR> <bR> <bR> <bR> <div> Setbacks are measured from lot line to the closest part of the building (roof line, deck, eaves, etc)</div> <div> Basement area: __________________  Bathrooms _____ Bedrooms _____ Fireplace ____Heat__________</div> <bR> <div> Cost: ________________________                                                 Fee: _____________________________</div> <bR> <div> I hereby certify that all use for which this application is made will conform with ordinances affecting this Township, </div> <div> Roscommon County, State of MI.</div> <bR> <div> I hereby authorize the Roscommon Township Land Use Officer permission to inspect the property as needed.</div> <bR> <div> This is a Land-Use certificate only.  Building permit must be obtained form the Houghton Lake Building Agency. </div> <div> Owner should also check deed restrictions.</div> <bR> <div> Signed: _____________________________________ Date Approved or denied ______________________</div> <bR> <div> Mailing Address: ________________________________________________________________________</div> <bR> <div> _________________________________________________    ____________________________________</div> <div>                                                                                                                                                Land Use Officer</div> <div>                                                                                                                         PO Box 610,   Houghton Lake,    MI 48629</div> <div>                                                                                                                                   989-422-4116   fax:  989-422-6145</div> <bR> <bR> <bR> <div> When a Land-Use Certificate is denied, Applicant will receive a letter within 10 days giving the reason of denial</div> <bR> <bR> </td> </tr></table></body>