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
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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 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
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"=
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)