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,, /4oN�1 <br /> • General Information Sheet ��� _ `�� <br /> f��k[c�f O�`/ <br /> Date: � � ti- ��l�5 Time: � �� �' Z � ����� �ounter ❑ Called <br /> T� <br /> Property Information <br /> Property Address: <br /> � . <br /> --- C� IJ� � ` . <br /> c�ty, z�p ��V\ � � I � � I c3t � v� S� �S�GI <br /> Zoning Classification: �— (� i _ /� Map Attached:�Yes ❑ No <br /> �C rt <br /> Contact Information <br /> Name: <br /> lJ ��l C� \ , l r �' ( <br /> Home Phone: <br /> Cell Phone: <br /> �' l z -- ��f `-7 -_ 1 �,�� <br /> Email: <br /> l� r �_ ' ��� � U �-t l�, l ��O r- _ rc IL� f • �'��y2-� <br /> QUeStIOt1S 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 /> � Demo or Teardown Process ❑ Stairway to Lake <br /> ❑ 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 /> -�� ����.�_� �rn._� v`--t �V <br /> � j`��SS � In l� ���C` � <br /> V <br />