Site Survey/Vacant Land Evaluation Form

Use this if you want to see if a parcel of vacant land 'percs'

To avoid delays, revisits and the possibility of evaluation of the wrong property, your application must include the following information and be accompanied by a check or money order for the correct fee amount. 

You must supply the following INFORMATION:

  • property tax number - may be obtained from your property tax bill or receipt, Township Office, or County Equalization Office
  • subdivision and lot number, if applicable
  • township and section number
  • driving directions to site - including road name, distance and direction in feet or 1/10 mile from nearest road

You must supply a SITE PLAN that shows:

  • landmarks - building, trees, fences, signs, etc.
  • property dimensions
  • site location to be tested

Complete this field work PRIOR to our site visit:

  • mark lot corners and lot lines
  • flag the lot so it is easily identifiable from the road
  • flag the area you would like us to evaluate
  • Miss Dig (800-482-7171) MUST be called and site flagged prior to our arrival

    EH Fees increased on 11/1/2020 - Please make sure you are using the correct dated form.

Benzie County Form
Leelanau County Form

The Health Department is happy to announce that we do accept credit card payment in office only at this time.  There is a small processing fee for paying with credit card.