Village of Kingsley
207 S. Brownson
Kingsley, Michigan 49649
Phone: (231) 263-7575

Date of Application


Date of Hearing

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Address of Subject Property:


Tax Parcel Number:


Legal Description:


Present Zoning Classification:


Requested Zoning Classification:


Signature of Owner:


Owner's Address:


Email (Required):


Applicant's Signature:


Relationship to Owner:


Applicant's Address and Phone No.:


Reason for Zoning Change Request:

** A Site Plan Drawing indication property lines, existing building, streets, and alleys and other improvements may be required by the Planning Commission and/or Village Council.