Member Information Home > Township Topics > Sample Documents > Ordinances > Zoning Ordinance Information > ZBA Final Decision Form
For an appeal by right of this decision to be timely, it must be made to the court of proper jurisdiction within 30 days of the date of this order.
1) Appeal Number: _________________
2) Hearing Date: ___________________
3) Applicant: _____________________________________________
4) Address: ______________________________________________
________________________________________________________
5) Phone: _________________________
6) Purpose of request: (variance, interpretation of zoning map, administrative appeal, other—please specify): ________________________________________________________
________________________________________________________
7) ZBA Findings of Fact:
________________________________________________________
________________________________________________________
________________________________________________________
________________________________________________________
________________________________________________________
________________________________________________________
8) ZBA Decision: ________________________________________________________
________________________________________________________
________________________________________________________
________________________________________________________
9) Reasons for Decision:
________________________________________________________
________________________________________________________
________________________________________________________
________________________________________________________
10) Vote of ZBA Members:
(Yes) (No) ______________________
(Yes) (No) ______________________
(Yes) (No) ______________________
(Yes) (No) ______________________
(Yes) (No) ______________________
11) Signature(s) of the ZBA chair or all of the ZBA Members:
___________________________________________
___________________________________________
___________________________________________
___________________________________________
___________________________________________
Certificate
I, __________________, Secretary of the _____________ Township Zoning Board of Appeals, certify that on this date I witnessed the signatures set forth above and attest to the accuracy of this report.
___________________________________
512 Westshire Dr. | Lansing, MI 48917 | P: 517-321-6467 | F: 517-321-8908
Copyright © 2009, Michigan Townships Association