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Revised 03-29-2023 Page 1 of 4 City of Whitefish Planning & Building Dept 418 E 2nd St │PO Box 158 Whitefish, MT 59937 Phone: [PHONE REDACTED] ADMINISTRATIVE LAKESHORE CONSTRUCTION PERMIT APPLICATION WHITEFISH or LOST LOON LAKE FEE ATTACHED $ An administrative Lakeshore Construction permit is required for docks 60’ and under, shore stations, and buoy installations. Additionally, an administrative permit is required for burning wood or debris, burying or repairing water lines, and dead and dangerous tree removal within the Lakeshore Protection Zone– an area extending 20 horizontal feet landward from mean high water of: • 3,000.79’ msl (NAVD 1988) for Whitefish Lake • 3,104’ msl (NAVD 1988) for Lost Loon Lake INSTRUCTIONS: Submit the application fee, completed application and appropriate attachments to the Whitefish Planning & Building Department. Staff will approve the permit within 14 days. All work will be inspected for conformity with permit. Permits are valid for one year from date of approval and can be renewed upon request. A. PROJECT INFORMATION: Project Type: How many feet of the lake frontage do you own? Street Address: Assessor’s Tract No.(s) Lot No(s) Block # Subdivision Name Section Township File Date: Intake Staff: Check Amount: Acct 1000-101000-341066 Date Complete: (see current fee schedule) ---PAGE BREAK--- Revised 03-29-2023 Page 2 of 4 I hereby certify that the information contained or accompanied in this application is true and correct to the best of my knowledge. The signing of this application signifies approval for the Whitefish Staff to be present on the property for routine monitoring and inspection during the approval and development process. Owner’s Signature** Date Print Name Applicant’s Signature Date Print Name Representative’s Signature Date Print Name B. APPLICATION CONTENTS: Attached ALL ITEMS MUST BE INCLUDED - INCOMPLETE APPLICATIONS WILL NOT BE ACCEPTED One printed copy and one electronic copy of the application and supplemental materials. Administrative Lakeshore Construction Permit Application Written description how the project meets the criteria in Sections D-G Site Plan drawn to scale Project Drawing that is drawn to scale (for docks, exact dimensions of dock segments are required, including gangway, (overall length) as proposed shoreline location) Vicinity Map Minimum of three photos: 1 photo of property from lake; 2 photos showing lakeshore protection zoning from property boundary toward the other property boundary from the north property line across property to the south) and photos of each existing structure or constructed area within the lakeshore protection zone (dock, boathouse, stairs, etc.) For Tree Removal Only: A letter from a certified arborist confirming the condition of the tree to be removed, as either dead or posing an imminent danger to the property. **May be signed by the applicant or representative, authorization letter from owner must be attached. If there are multiple owners, a letter authorizing one owner to be the authorized representative for all must be included. SIGN SIGN SIGN ---PAGE BREAK--- Revised 03-29-2023 Page 3 of 4 C. OWNER/APPLICANT INFORMATION OWNER(S) OF RECORD: Name: Phone: Mailing Address: City, State, Zip: Email: APPLICANT (if different than above): Name: Phone: Mailing Address: City, State, Zip: Email: OTHER TECHNICAL/PROFESSIONAL: Name: Phone: Mailing Address: City, State, Zip: Email: D. NATURE OF THE PROPOSED WORK: (describe what you propose to build, remove, or install. Give dimensions, materials used, and list any heavy equipment, if any, to be used.) ---PAGE BREAK--- Revised 03-29-2023 Page 4 of 4 E. Describe any Environmental Impacts (e.g. impacts on water quality or fish and wildlife habitat, increased sedimentation, etc.). Explain what measures will be taken to alleviate these impacts. F. Describe existing impervious improvements on the property within the lakeshore protection zone along with the square footage of each item, such as an existing dock, stairs, boat house, deck, retaining wall, or patio and when each item was constructed, if known, and the permit number if known. FEES: Administrative Permit no committee meeting: waterlines, dead trees, buoys, burning etc. $75 Administrative Permit with committee meeting: docks under 60’, shore stations $255 “After-the-Fact” Permit 4 times the normal fee