2. 

   CHARTER TOWNSHIP OF LENOX

   REZONING REQUEST APPLICATION

   63775 Gratiot Ave. Lenox, MI 48050

6. APPLICANT
8. Applicant's Name*
9. Address*
10. Township/City*
12. State*
13. Zip Code*
14. Phone:*
16. Email*
18. APPLICANT'S REPRESENTATIVE (IF DIFFERENT FROM APPLICANT)
20. Name
21. Address
22. Township/City
24. State
25. Zip Code
26. Phone
28. Email
32. GENERAL PROPERTY INFORMATION

    Please fill out each portion with accurate information

34. Property Owner*
35. Property Address*
36. General Location*
38. Parcel ID Number*
39. Property Size (Acres)*
40. Frontage (Feet)*
42. Existing Zoning District*
    -- Select One --AG - Agricultural DistrictR - Single-Family Residential DistrictRM - Multiple-Family Residential DistrictMH - Manufactured Home CommunityOS - Office ServiceNB - Neighborhood BusinessCB - Community BusinessGB - General BusinessLI - Light IndustrialHI - Heavy IndustrialREC - RecreationF - Floodplain
43. Proposed Zoning District*
    -- Select One --AG - Agricultural DistrictR - Single-Family Residential DistrictRM - Multiple-Family Residential DistrictMH - Manufactured Home CommunityOS - Office ServiceNB - Neighborhood BusinessCB - Community BusinessGB - General BusinessLI - Light IndustrialHI - Heavy IndustrialREC - RecreationF - Floodplain
45. Current Use*
47. Proposed Use*
51. ADDITIONAL INFORMATION

    Please provide answers to the following questions.

53. Is the capacity of the Township utilities and services sufficient to accommodate the uses permitted in the requested zoning district, without sacrificing the health, safety and welfare of the Township?*
55. Are the potential uses allowed in the requested zoning district compatible with the current existing land uses in the area?*
57. Can the existing street system safely and efficiently accommodate the expected traffic generated by uses permitted in the requested zoning districts?*
59. Are the boundaries of the requested rezoning reasonable in relationship to surroundings, and will construction on the site be able to meet the dimensional regulations set forth by the Lenox Zoning Ordinance?*
63. SUBMISSION REQUIREMENTS
65. Affidavit of Ownership*

    Please submit a notarized Affidavit of Ownership

66. Copy of a Scaled Sketch Plan*

    Please submit a scaled sketch plan illustrating the size and shape of the property, size and location of all existing and proposed buildings, streets, alleys, easements, and other pertinent existing conditions, and the location and use of adjacent buildings with 150 feet of the subject site.

68. NOTE: You are required to submit your Application Fee to the Township before this application can proceed.
72. Do you agree?*

    By clicking "I agree," you agree and acknowledge that 1) your application will not be "Signed" in the sense of a traditional paper document and 2) By signing in this alternate manner, you agree that your "electronic signature" is valid and binding upon you to the same force and effect as a handwritten signature.

    1. I Agree
74. Signature of person filing application*
Leave This Blank:


76. 1. Receive an email copy of this form.
77. Email address

    This field is not part of the form submission.

78. Submit Submit and Print

* indicates a required field