Application For Land Division And/or Boundary Adjustment Page 2
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4City of Traverse City
APPLICATION FOR LAND DIVISION AND/OR
BOUNDARY ADJUSTMENT
(City Ordinance 1244.05)
Applicant’s Name:______________________________________________________________
Address:______________________________________________________________________
Phone#:_______________________________________________________________________
Representative Name: _________________________________ Phone #: __________________
Please indicate if:
Land Division
Boundary Adjustment
Proof of Ownership*: Deed____ Land Contract____ Option to Purchase Agreement____
If an unplatted tract or parcel; # of Division Rights:
* Please do not include documents with personal information such as Social Security Numbers,
Birth Dates, Driver’s License Numbers, Bank Account Numbers, etc.
Current Status - for subject “Parent Property or Properties”
Current Owner:_________________________________________________________________
Owner Phone #:_________________________________________________________________
Property Tax Identification #:______________________________________________________
Additional Property Tax Identification #:_____________________________________________
Property Address: _______________________________________________________________
Additional Property Address:______________________________________________________
Legal Description Requirement - Please attach the following:
_____ Legal Description of parent parcel(s)
_____ Legal Description of proposed parcel(s)
The owner(s) of the above real property, in accordance with Traverse City Code of Ordinances
Section 1244.05, requests that the attached legal descriptions be placed upon the City assessment
and tax rolls.
Land Survey Requirement
A current land survey prepared by a registered professional land surveyor, containing the
following information must be submitted with the application. Please check-off any of the
below items which are indicated on the survey.
K:/tcclerk/landdivisionforms/land division boundary adjustment application.doc
Last Updated: February 25, 2014
Page 2 of 4
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