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General Information Sheet
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Date: �� 5 Time: - 50 :E-7 ] Counter Called
Property Information
Property Address:
LIq 4lP
City, Zip
aid rnti ss-34 LJ
Zoning Classification: Map Attached: 2Q Yes ❑ No
Contact Information
Name:
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Home Phone:
Cell Phone:
• Email:
Questions Handout(s)Given: Yes ❑ No
❑ Animal Regulations(Type: ) Hardcover Regulations
❑ Building Permit (Type: ) ❑ Land Alterations(_Minor/_Major)
❑ Building Permit Status ❑ Rebuild Questions
❑ CUP Process ❑ Retaining Walls(_<4'/_>4')
❑ Decks ❑ Setbacks
❑ Demo or Teardown Process ❑ Stairway to Lake
❑ Escrow Questions or Escrow Refund ❑Subdivision Process
❑ Fence Regulations (_Lakeshore/_Non LS) ❑variance Application Process
❑ Other/Additional
Other/Additional Questions & Staff's Notes/Response
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