LELAND TOWNSHIP LAND USE PERMIT APPLICATION
P.O. Box 226, Lake Leelanau, MI 49653
Phone: 231-360-2557 Fax 231-256-2465 Email: sta[email protected] (Revised March 2023)
SECTION 1 - Owner / Contractor / Agent Information
Application completed
by
Parcel Owner’s Name, Mailing Address, and Email
Please contact the Zoning Administrator for the application fee cost
Phone Number
Owner Contractor
Agent
Application Date
Contractor’s / Agent’s Name and Mailing Address, if different than above
If contractor/agent, provide a letter of authorization from the parcel owner
Phone Number
Parcel or Tax ID#
Physical Address of Parcel, if different than above
Lot # and
Subdivision Name
45-009-
SECTION 2 - Proposed Structure Information
All measurements must include overhangs, if any
Current Project Description
Type of Use: □ Residential □ Agricultural □ Storage □ Commercial □ Other
Structure
Dimensions –
identify structure
types separately -
ie – house, decks,
porches, garages,
etc..
Type of Structure
Width
Length
Height
Stories
Area
Structure #1
Ft
2
Structure #2
Ft
2
Structure #3
Ft
2
Structure #4
Ft
2
Type of
Foundation:
Slab
Crawl
Basement
Piers
Type of
Frame/
Wood Other
Metal ___________
# of
Baths
Total area of
new
structures
Ft
2
Type of
Siding
Wood Stone/Brick
Vinyl ____________
# of
Bedrooms
SECTION 3 - Existing Structure Information, if any
All measurements must include overhangs, if any.
List all existing
structures and
area of each even
if currently
planned work is
an addition to an
existing structure
Type of Structure
Width
Length
Height
Stories
Area
Structure #1
# of Baths # of Bedrooms
Ft
2
Structure #2
# of Baths # of Bedrooms
Ft
2
Structure #3
Ft
2
Do existing structures conform
to zoning district setbacks?
If Yes, please show on Site Plan
Yes
No
Total area of
existing
structures
Ft
2
SECTION 4 - Other Information
Health Department #
or Sewer Permit #
Soil Erosion Permit #
Driveway Permit #
EGLE Permit #
Flood Zone
Yes or No
SECTION 5- Zoning Information
All measurements must include overhangs, if any
Parcel is located in
which Zoning District?
Complete Items A, B, C & D below
% Permitted Lot
Coverage, if any
(A)
Total area of
existing & proposed
structures
(B)
Ft
2
Lot / Parcel
Size
(C)
Ft
2
Percentage
of Lot
Coverage
(B/C=D)
%
Setbacks REQUIRED
by District Regulations
If lake frontage, front is
always lakeside
Front
Rear
PROPOSED
SETBACKS
Front
Rear
Sideyard
Easement
Private Road
Sideyard
Easement
Private Road
SECTION 6. A site plan and legal description of the lot or parcel must be attached to this application.
All setback measurements should be measured from the edge of the overhang, if any, to the nearest point on the
adjacent property line. Property lines must be flagged for inspection adjacent to the construction area. The
following information must be included on the site plan:
1. Dimensions of parcel with front (roadside), rear,
left & right sides clearly labeled
2. Location & dimensions of existing & proposed
structures
3. Setback measurements of existing & proposed
structures
4. Location & dimensions of existing & proposed
easements or driveways
5. Location & name of nearest public/private road
6. Location of well, septic and fuel tank, if any.
7. North directional arrow
SECTION 7. Answer the following questions:
1. Is the physical address of the parcel marked at the site? __________________________________________________
2. Does the driveway have at least 12 foot of width and 14’ overhead clearance?_________________________________
3. Are there deed restrictions on the site that you need to be aware of? ________________________________________
4. Have there been any previous known zoning violations on this parcel? _____ If yes, describe __________________
5. Have any variances been granted for this parcel? _______________________________________________________
6. Is this a residential parcel adjacent to agriculturally zoned land?____________________________________________
7. Circle all environmentally sensitive characteristics existing on the lot or parcel: See Zoning Ordinance, Article 24
Including but not limited to:
Marsh/Swamp Wetland Steep Slope Ridgeline Not Applicable
Lake Michigan Shoreline Critical Duneland / High Risk Erosion Area Inland Lake or Stream Shoreline
Application is hereby made for a permit to authorize the proposed activity described herein. I understand that the granting of other
permits by local, county, state or federal agencies, does not release the property owner from the requirement of obtaining the permit
requested hereon before commencing the project. I understand that the granting of a Land Use Permit from Leland Township does not
exempt the property owner from obtaining other permits that may be required by county, state or federal agencies.
With the granting of the permit for the above, it is agreed that such work will conform to state building codes, zoning and other
ordinances of Leland Township, and that said Township shall not be liable for any resulting damage. Under no condition does the
granting of a Land Use Permit suggest that Leland Township can provide emergency services to the permitted structure or building in
the location permitted.
I certify that I am familiar with the information contained in the application, and that to the best of my knowledge and belief such
information is true and accurate and in compliance with the Leland Township Zoning Ordinance. I certify that I have the authority to
undertake the activities proposed in this application. By signing this application, I agree to allow a representative of Leland Township
to enter upon said property in order to inspect the proposed project.
Applicant’s Signature: ______________________________________________________Date:____________________________
Office Use Only:
Date Received _____________ Date Processed____________ Fee Amount ____________Approved by ______________________
