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��n'O <br /> C�neral Information Sheet f��KfSHOQ'E`~ <br /> r __� ] `7 <br /> Date: i��� `� -(� Time: -�-% ` � "- � ' Counter ❑ Called <br /> ; <br /> Property In#ormation <br /> Property Address: <br /> =� �_ �� � � ,�1 c� � � � <br /> c�ty,z�p r <br /> ��-='L��1. 7 C_x_ � C"=L_ �I C� <br /> Zoning Classification: -� _ � � Map Attached: Yes ❑ No <br /> � <br /> Contact Information <br /> Name: <br /> ��-���.� �� _�: j�} y <br /> Home Phone: <br /> Cell Phone: �T <br /> �;',' � � -� !� � �t � LC' � <br /> Email: <br /> QUC'StI0t1S Handout(s)Given: , Yes ❑ No <br /> ❑ Animal Regulations(Type: _ ) ❑ Hardcover Regulations <br /> . ,,�Building Permit (Type: �C��cz i�--- ) ❑ Land Alterations(_Minor/_Major) <br /> � ❑ Building Permit Status � ❑ Rebuild Questions <br /> ❑ CUP Process ❑ Retaining Walls(_<4'/_>4') <br /> ❑ Decks ❑ Setbacics <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 /> ,; <br /> � ���_c in�'�- �'�C�-��,.�����, � .- ��,���_ r-1 L, ,�_;��6,.� ,� -'y a� a � <br /> � t�'� ���e s �, <br />