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                                                                                                                                                             1/04
                                  City of Muskegon Planning & Zoning Application
              Planning Commission                                                            Zoning Board of Appeals
          Amendment to Ordinance ($250)                                    Variance ($150 Residential or $300 Commercial/Industrial)
          Rezoning ($250)                                                  Ordinance Interpretation ($150 Res. or $300 Com./Ind.)
          Special Use Permit ($250)                                        Zoning Appeal ($150 Res. or $300 Com./Ind.)
          PUD - Preliminary ($250)                                         Special Meeting ($400 additional)
          PUD - Final ($250)                                                                        Site Plan Review
          PUD - Amendment ($250)                                           Staff Review - Minor ($100)
          Vacation - Alley or Street ($250)                                Staff Review - Major ($200)
          Special Meeting ($400 additional)                                Planning Comm. Review ($200)

Address/Location of Subject Property:
Parcel # of Subject Property:
Current Zoning & Use of Subject Property:

Applicant Information:
Name:                                                                     Organization:
Address:                                                                  City/State/Zip:
Phone (H):                                                 Phone (W):                                                    Fax:
I hereby attest that all information on this application is, to the best of my knowledge, true and accurate.
Signature:                                                                            Date:
I hereby grant permission for members of the City of Muskegon (Planning Commission) (Zoning Board of Appeals) (City Commission) (Staff) to enter
the property described below (or as described in the attached) for the purpose of gathering information related to this application.  (Note to applicant:
This is optional and will not affect any decision on your application)
Signature of Owner:                                                                                             Date:
Applicant is the:    Owner          Lessee          Optionee          Contractor/Architect

If the applicant is not the owner of the property, complete the following:
Owner's Name:
Address:                                                                  City/State/Zip:
Phone:                                                          Signature:

Proposed Use:                                                                              Proposed Zoning:
Explanation of Request:


If application is for a Special Use Permit or Planning Commission Site Plan Review, please attach fifteen (15) copies of a
complete site plan.  If application is for a Planned Unit Development, please attach nineteen (19) copies of a complete site
plan.  If application is for a Staff Site Plan Review, please attach six (6) copies of a complete site plan.
                                                         TO BE COMPLETED BY CITY
Date application received and accepted:
Receipt Number:                                                                  Staff:
Meeting Date (if applicable):
Note:  Information contained in this application, as well as supporting documentation, may be subject to review by the
public if a Freedom of Information Act Request is filed.
                                Please attach a legal description of the property involved with this request.