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40N� <br /> General Information Sheet sf <br /> 'KESHOQ'� <br /> Date: I i.- Time: ❑ Counter ❑Called <br /> I c <, <br /> Property Information <br /> Property Address: <br /> City,Zip <br /> I\ () �:- IcI „ ) )/')'JI�v; - .D(7 <br /> Zoning Classification: Map Attached: FIXYes ❑ No <br /> I 5pide) <br /> Contact Information <br /> Name: (” <br /> Home Phone: vI <br /> Cell Phone: 1 <br /> Email: <br /> Questions Handout(s)Given: ❑Yes ❑ No <br /> ❑ Animal Regulations(Type: ) ❑ Hardcover Regulations <br /> ❑ Building Permit (Type: ) ❑ Land Alterations(_Minor/_Major) <br /> ❑ Building Permit Status ❑ Rebuild Questions <br /> ❑ CUP Process ❑ Retaining Walls (_<4'/_>4') <br /> ❑ Decks ['Setbacks <br /> E Demo or Teardown Process ❑Stairway to Lake <br /> E Escrow Questions or Escrow Refund ❑ Subdivision Process <br /> ❑ Fence Regulations (_Lakeshore/_Non LS) ❑Variance Application Process <br /> ❑ Other/Additional <br /> Other/Additional Questions & Staff's Notes/Response <br /> tc[ )( -) ( I Y ;-Amciivi cCc� <br /> J <br /> \AO <br /> kAiV)1A <br /> 1 �P <br />