Emmet County Planning & Zoning Department

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Emmet County Planning & Zoning Department 3434 Harbor-Petoskey Rd, Suite E, Harbor Springs, Michigan 49740 Telephone: 231-348-1735 www.emmetcounty.org Facsimile: 231-439-8933 ZONING PERMIT APPLICATION Job Number JOB SITE LOCATION Address Street Name Township, City or Village Property Tax ID Number Lot/Unit No. Plat or Condominium Name First Name, Last Name E-mail Address Telephone Number Mailing Address Cell Number City, State, Zip Facsimile Number APPLICANT INFORMATION Mailing Address First Name, Last Name E-mail Address Telephone Number Cell Number City, State, Zip Facsimile Number OWNER INFORMATION (if different than applicant) PROPOSED WORK New Building Change in Use Relocated Building Addition Reconstruction Overall Width = Ft. Average Ht. = Ft. Overall Length = Ft. Number of Stories = Other: BUILDING USE Residential Uses Single family Multi-family - # Units Mobile Home Two Family Garage, Accessory Building Addition Non-Residential or Commercial Use Assembly, Restaurant, etc. Business, Office, etc. Church, Religious, etc. Educational, School, etc. Factory, Industrial, etc. Hotel, Motel, etc. - # Rooms: Institutional, Hospital, Jail, etc. Mercantile, Store, Retail, etc. Utility: Parking or Service Garage Storage, Warehouse, etc. Tower, Bridge, Barn, etc. Agricultural: Other: Describe Use(s): Rev. 03/26/2008

Transcript of Emmet County Planning & Zoning Department

Page 1: Emmet County Planning & Zoning Department

Emmet County Planning & Zoning Department

3434 Harbor-Petoskey Rd, Suite E, Harbor Springs, Michigan 49740 Telephone: 231-348-1735 www.emmetcounty.org Facsimile: 231-439-8933

ZONING PERMIT APPLICATION

Job NumberJOB SITE LOCATION

Address Street Name Township, City or Village

Property Tax ID Number Lot/Unit No. Plat or Condominium Name

First Name, Last Name E-mail Address Telephone Number

Mailing Address Cell Number

City, State, Zip Facsimile Number

APPLICANT INFORMATION

Mailing Address

First Name, Last Name E-mail Address Telephone Number

Cell Number

City, State, Zip Facsimile Number

OWNER INFORMATION (if different than applicant)

PROPOSED WORKNew Building Change in Use Relocated Building

Addition Reconstruction

Overall Width = Ft. Average Ht. = Ft.

Overall Length = Ft. Number of Stories =Other:

BUILDING USEResidential Uses

Single family Multi-family - # Units Mobile Home

Two Family Garage, Accessory Building Addition

Non-Residential or Commercial Use

Assembly, Restaurant, etc.

Business, Office, etc.

Church, Religious, etc.

Educational, School, etc.

Factory, Industrial, etc.

Hotel, Motel, etc. - # Rooms:

Institutional, Hospital, Jail, etc.

Mercantile, Store, Retail, etc.

Utility:

Parking or Service Garage

Storage, Warehouse, etc.

Tower, Bridge, Barn, etc.

Agricultural:

Other:

Describe Use(s):

Rev. 03/26/2008

Page 2: Emmet County Planning & Zoning Department

APPLICANT INFORMATION

Owner or Applicant: I do hereby certify that the work described on this application is accurate and complete to the best of my knowledge. The site plan is accurate as drawn and/or dimensioned. If other than property owner, attach authorization form.

Signature of Applicant Date

SITE PLAN

Separate Site Plan Attached

1. Dimensioned property lines

2. Rivers, lakes or streams within 500 ft.

3. Road ROW, access or utility easements.

4. Location and size of all buildings on property.

5. Locate all drives and parking areas.

6. Place north arrow in circle provided.

7. Indicate any exterior walls to be removed/replaced (remodel & expansions).

NORTH Insert arrow indicating North direction

Scale: 1:=50' 1"=100' 1"=200' 1"=

Page 3: Emmet County Planning & Zoning Department

County of Emmet Department of Planning, Zoning & Construction Resources

3434 Harbor Petoskey Road, Suite E Harbor Springs, Michigan 49740

Phone: 2313481735 Fax: 2314398933

www.emmetcounty.org Date:________________________ Emmet County Planning, Zoning, & Construction Resources 3434 Harbor Petoskey Road, Suite E Harbor Springs, MI 49740 To Whom It May Concern: I hereby authorize (applicant’s name) _______________________________________ to apply for and sign (as agent) the necessary Zoning Permit applications for (project) _____________________________________________. Any questions should be directed to (business name)_____________________________________________. Sincerely, Property Owner Signature (please print name below)